Matthew D. Petta in Port Townsend - Nurse Anesthetist, Certified Registered
Matthew D. Petta - NPI 1376569954
Matthew D. Petta is a Nurse Anesthetist, Certified Registered in Port Townsend, Washington. Matthew D. Petta practices all healthcare services and medical treatments related to Nurse Anesthetist, Certified Registered. The NPI Number for Matthew D. Petta is 1376569954. The last update date is 2016-02-12.
Matthew D. Petta's current location address is 628 Madison St, Port Townsend, Washington. You can contact this provider via phone number 4029900733. The mailing address for Matthew D. Petta is 628 Madison St, Port Townsend, Washington. To know further, please read the information below!
Provider Profile Detail
Provider Name | Matthew D. Petta |
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Address | 628 Madison St, Port Townsend, Washington |
Phone Number | 4029900733 |
Fax Number | |
Sole Proprietor | Y |
Credentials | CRNA |
NPI Number Detail
NPI Number | 1376569954 |
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Provider Enumeration Date | 2006-07-15 |
Last Updated Date | 2016-02-12 |
Provider Mailing Address Detail
Address | 628 Madison St |
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City | Port Townsend |
State | Washington (WA) |
Post Code | 983684414 |
Phone Number | 4029900733 |
Fax Number |
Provider's Primary Taxonomy Detail
Speciality | Nurse Anesthetist, Certified Registered |
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Taxonomy | 367500000X |
Licence No | 60552041 |
Definition: (1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
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1376569954 | WA | NPI |
Post Comment/ Review Below
What is the unique identification code assigned to Matthew D. Petta by the Centers for Medicare & Medicaid Services?
The Matthew D. Petta has been issued the NPI (National Provider Identifier) 1376569954. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you kindly provide the complete physical address where Matthew D. Petta's facilities are geographically located?
The facilities of Matthew D. Petta are physically situated at the following location: 628 Madison St, Port Townsend, WA, 983684414.
What is Matthew D. Petta's specialized field of practice, and what is the corresponding taxonomy classification code?
The Matthew D. Petta's area of specialization is Nurse Anesthetist, Certified Registered, and the corresponding taxonomy code that categorizes this field of practice is 367500000X.
On what date did the Matthew D. Petta receive its 1376569954 assignment from the Centers for Medicare & Medicaid Services?
The Matthew D. Petta was assigned its 1376569954 by the Centers for Medicare & Medicaid Services on 2006-07-15.
When was the information related to Matthew D. Petta most recently updated or refreshed?
The details pertaining to the Matthew D. Petta, including its address, specialty, and other relevant information, were last updated or refreshed on 2016-02-12.
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