Individual
DR. MATTHEW HART
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DNAP
Contact information
Practice address
106 BODIN CIR, TRAVIS AFB, CA 94535-1804
(717) 725-5080
Mailing address
106 BODIN CIR, TRAVIS AFB, CA 94535-1804
(717) 725-5080
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
0001298382
VA
163W00000X
Registered Nurse
2012005622
MO
163W00000X
Registered Nurse
RN.532334
OH
363L00000X
Nurse Practitioner
0024179470
VA
363L00000X
Nurse Practitioner
APRN.CRNA.0020994
OH
367500000X
Certified Registered Nurse Anesthetist
Primary
129174
MO
Other
Enumeration date
03/23/2020
Last updated
05/11/2026
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