Doctor Name: | NANCY HARTMAN |
NPI Number: | 1073871687 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | CRNP-ADULT |
License Number: | R083765 |
Business Practice Address: | 301 Steeple Chase Dr Suite 103 Prince Frederick, MD - 206784049 |
Business Phone Number: | 4104145633 |
Business Fax Number: | 4104145911 |
Mailing Address: | 301 Steeple Chase Dr, Suite 103 PRINCE FREDERICK |
State: | MD |
Postal Code: | 206784049 |
Phone Number: | 4104145633 |
Fax Number: | 4104145911 |
NPI Enumeration Date: | 05/02/2012 |
NPI Last Update Date: | 12/17/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LA2200X |
License Number: | R083765 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MD |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Adult Health |
Taxonomy Definition: |