| Doctor Name: | BIRTHA V HARTNESS |
| NPI Number: | 1003895541 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | ANP |
| License Number: | AO1567 |
| Business Practice Address: | 195 Hospital Drive Suite A Cherokee Village, AR - 72529 |
| Business Phone Number: | 8702576060 |
| Business Fax Number: | 8702577664 |
| Mailing Address: | 195 Hospital Drive, Suite A CHEROKEE VILLAGE |
| State: | AR |
| Postal Code: | 72529 |
| Phone Number: | 8702576060 |
| Fax Number: | 8702577664 |
| NPI Enumeration Date: | 01/12/2006 |
| NPI Last Update Date: | 03/04/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | AO1567 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | AR |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |