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Contact Information

MATTHEW HARTLE, NURSE PRACTITIONER
3808 NICOLLET AVE
MINNEAPOLIS, MN55409-1304
 Phone: 612-822-7946
 Fax: 612-822-9668
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Psychiatric/Mental Health

363LP0808X 50 Nurse Practitioner
 

Community Health

163WC1500X
 

Family

363LF0000X 50 Nurse Practitioner
Indicates primary specialty

NPI Profile & details for MATTHEW HARTLE · (Male)

NPI Number 1285305177
Status Active
Credentials NURSE PRACTITIONER
Entity Individual
Enumeration date 09/22/2021
Last updated 12/15/2025 - About 6 months ago
Sole proprietor 1 Yes
Identifiers
  • MN License # 11061
  • MN License # 2234256
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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