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NPI Code Detail

MEDICARE: MATTHEW PETER DINSMORE ARNP

MEDICARE: MATTHEW PETER DINSMORE ARNP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363L00000XNurse PractitionerAP60323515WA

General Provider Information

NPI Number : 1275887705
Entity Type Code : Individual
Provider Name (Legal Business Name) : MATTHEW PETER DINSMORE ARNP
Provider Business Mailing Address
First Line : 6262 MOSS CT
Second Line :
City : NINE MILE FALLS
State : WA
Zip : 99026-8313
Country : US
Telephone Number : 509-230-4310
Fax Number :
Provider Business Practice Location Address
First Line : 5952 BLACKSTONE WAY
Second Line :
City : NINE MILE FALLS
State : WA
Zip : 99026-4900
Country : US
Telephone Number : 509-464-3627
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/06/2012
Last Update Date : 09/14/2021

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Directions to “ MATTHEW PETER DINSMORE ARNP” Practice Location

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