Provider Demographics
NPI:1477550820
Name:FREEMAN, MATTHEW (DNP, MPH)
Entity Type:Individual
Prefix:DR
First Name:MATTHEW
Middle Name:
Last Name:FREEMAN
Suffix:
Gender:M
Credentials:DNP, MPH
Other - Prefix:DR
Other - First Name:MATT
Other - Middle Name:
Other - Last Name:FREEMAN
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:DNP, MPH
Mailing Address - Street 1:698 E WETMORE RD STE 370
Mailing Address - Street 2:
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85705-1773
Mailing Address - Country:US
Mailing Address - Phone:520-300-6131
Mailing Address - Fax:520-300-6733
Practice Address - Street 1:698 E WETMORE RD STE 370
Practice Address - Street 2:
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85705-1773
Practice Address - Country:US
Practice Address - Phone:520-300-6131
Practice Address - Fax:520-300-6733
Is Sole Proprietor?:No
Enumeration Date:2005-06-30
Last Update Date:2021-02-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZAP8076363LA2200X
WAAP60237031363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health