| Matthew Herta, | |
|
3687 Veterans Dr, Fort Harrison, MT 59636-9703 | |
| (406) 447-7194 | |
| Not Available |
| Full Name | Matthew Herta |
|---|---|
| Gender | Male |
| Speciality | Licensed Practical Nurse |
| Location | 3687 Veterans Dr, Fort Harrison, Montana |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245533892 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 164W00000X | Licensed Practical Nurse | 39675 (Montana) | Primary |
| 164W00000X | Licensed Practical Nurse | L1495260 (Michigan) | Secondary |
| Mailing Address | Practice Location Address |
|---|---|
| Matthew Herta, 1200 N Washington St, Helena, MT 59601-3238 Ph: (406) 442-4706 | Matthew Herta, 3687 Veterans Dr, Fort Harrison, MT 59636-9703 Ph: (406) 447-7194 |
Carolyn Barker, LPN Licensed Practical Nurse Medicare: Not Enrolled in Medicare Practice Location: 3687 Veterans Dr, Fort Harrison, MT 59636 Phone: 406-442-6410 Fax: 406-841-8991 |
Mrs. Lakota Lynn Kinyon, Licensed Practical Nurse Medicare: Not Enrolled in Medicare Practice Location: 3687 Veterans Dr, Fort Harrison, MT 59636 Phone: 406-442-6410 |