HANNE MARI MATERO MMS PA-C NPI 1790112845

NPI Information

NPI: 1790112845
Provider Name: HANNE MARI MATERO, MMS, PA-C
Classification: Physician Assistant - 363AM0700X
Entity Type: Individual

Specialization: Medical

Organization: HONORHEALTH-FASTMED AMBULATORY HOLDINGS LLC

PECOS Registration: Yes

Address:
1108 W INDIAN SCHOOL RD STE B
PHOENIX, AZ
ZIP 85013
Phone: (602) 773-5600
Get Directions

Hanne Mari Matero, MMS, PA-C is a medical physician assistant in Phoenix, AZ with 11 years of experience. Hanne Mari Matero, MMS, PA-C NPI is 1790112845. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1108 W INDIAN SCHOOL RD STE B
PHOENIX, AZ
ZIP 85013-107
Phone: (602) 773-5600

The NPI 1790112845 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 10/3/2013 and was last updated on 12/6/2013.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363AM0700X	Physician Assistant	Medical	5550	ARIZONA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	Z161839	MEDICARE PIN	ARIZONA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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