Individual
MATTHEW HANEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
9300 DEWITT LOOP, FORT BELVOIR, VA 22060-5285
(828) 448-1230
Mailing address
1947 MAYFLOWER DR, WOODBRIDGE, VA 22192-2314
(828) 448-1230
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
225859
NC
367500000X
Certified Registered Nurse Anesthetist
Primary
0024188556
VA
367500000X
Certified Registered Nurse Anesthetist
7238
NC
Other
Enumeration date
12/13/2021
Last updated
04/04/2025
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