Doctor Name: | ALLISON HARTING |
NPI Number: | 1396150272 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | 28196861A |
Business Practice Address: | 140 Fox Rd Ste 201 Van Wert, OH - 458912475 |
Business Phone Number: | 4192322077 |
Business Fax Number: | |
Mailing Address: | Po Box 603, CONVOY |
State: | OH |
Postal Code: | 458320603 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 06/30/2014 |
NPI Last Update Date: | 02/16/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | 28196861A |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | IN |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |