Doctor Name: | MS. HOLLY LINDEN HARTUNG |
NPI Number: | 1023344041 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | CFNP |
License Number: | R105226 |
Business Practice Address: | 2625 Mcnutt Rd Sunland Park, NM - 880639019 |
Business Phone Number: | 5755890887 |
Business Fax Number: | 5755890898 |
Mailing Address: | 385 Calle De Alegra, Bldg. A LAS CRUCES |
State: | NM |
Postal Code: | 880053423 |
Phone Number: | 5755261105 |
Fax Number: | 5755244266 |
NPI Enumeration Date: | 10/27/2009 |
NPI Last Update Date: | 04/03/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | R105226 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | MD |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |