# MATTHEW HERTA

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1245533892
- **Gender:** Man

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 164W00000X | Licensed Practical Nurse | 39675 | MT | Yes |
| 164W00000X | Licensed Practical Nurse | L1495260 | MI | — |

## Other

- **Enumeration date:** 12/20/2010
- **Last updated:** 12/20/2010