Doctor Name: | JULIE ANN HARTZLER |
NPI Number: | 1093041998 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | FNP |
License Number: | 71001488A |
Business Practice Address: | 1155 N 1200 W Middlebury, IN - 465409372 |
Business Phone Number: | 5748253888 |
Business Fax Number: | |
Mailing Address: | 1318 E Douglas St, GOSHEN |
State: | IN |
Postal Code: | 465284250 |
Phone Number: | 5749714756 |
Fax Number: | |
NPI Enumeration Date: | 10/27/2009 |
NPI Last Update Date: | 10/27/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | 71001488A |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IN |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |