Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MATTHEW ANTHONY HETTENBACH, PMHNP
Active Sole ProprietorMATTHEW ANTHONY HETTENBACH, PMHNP is a Psychiatric/Mental Health Nurse Practitioner healthcare provider located in RACINE, Wisconsin. NPI 1003430729 is currently active in the NPPES registry. Verify at CMS.
Psychiatric/Mental Health Nurse Practitioner · RACINE, WI
Registration Details
- NPI Number
- 1003430729
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- May 29, 2020 (6.1692833272054 yrs)
- Last Updated
- May 29, 2020
- License
-
10089 (WI)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1244 WISCONSIN AVERACINE, WI, 534031987Browse WI providers · Browse ZIP 53403
- Phone
- 2626872956
- Primary Specialty
-
Psychiatric/Mental Health Nurse Practitioner
363LP0808X
Other Psychiatric/Mental Health Nurse Practitioner Providers in RACINE, WI
| Name | Credential | NPI |
|---|---|---|
| MRS. NANCY RUTH MACZKA | ADULT PMHNP | 1215139860 |
| DANIEL D MEDLOCK | APNP | 1639439433 |
| RAYE MARIE SERRATOS | APNP, PMHNP-BC | 1033459805 |
| RENEE MORIN | APNP | 1609388693 |
| SAUNDRA MCGLASTON | APNP, PMHNP-BC | 1205528874 |
| DEJ NTSHIAB THOR | PMHNP | 1255138061 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.