| Doctor Name: | CONNIE L HARTLEY |
| NPI Number: | 1144213109 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | ARNP |
| License Number: | ARNP9168770 |
| Business Practice Address: | 4840 S Us Highway 41 Dunnellon, FL - 344321959 |
| Business Phone Number: | 3524895152 |
| Business Fax Number: | 3524891904 |
| Mailing Address: | 1623 Sw 1st Ave, OCALA |
| State: | FL |
| Postal Code: | 344744028 |
| Phone Number: | 3527329844 |
| Fax Number: | 3527326787 |
| NPI Enumeration Date: | 08/25/2005 |
| NPI Last Update Date: | 03/08/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | ARNP9168770 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | FL |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |