Individual
MATTHEW HARTLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
NURSE PRACTITIONER
Contact information
Practice address
3808 NICOLLET AVE, MINNEAPOLIS, MN 55409-1304
(612) 822-7946
(612) 822-9668
Mailing address
3808 NICOLLET AVE, MINNEAPOLIS, MN 55409-1304
(612) 822-7946
(612) 822-9668
Taxonomy
Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
2234256
MN
363LF0000X
Family Nurse Practitioner
11061
MN
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
11061
MN
Other
Enumeration date
09/22/2021
Last updated
12/15/2025
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