Individual
MATTHEW M. HESSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
AGPCNP
Contact information
Practice address
202 62ND AVE NE, TACOMA, WA 98422-4018
(319) 231-0857
Mailing address
202 62ND AVE NE, TACOMA, WA 98422-4018
(319) 231-0857
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
ARNP.AP.61106880-NP
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
ARNP.AP.61106880-NP
WASHINGTON DOH
WA
Enumeration date
09/16/2020
Last updated
09/16/2020
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