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NPI Code Detail

MEDICARE: MARSHA L HARTBERG RNP

MEDICARE: MARSHA L HARTBERG RNP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LX0001XObstetrics & Gynecology Nurse Practitioner361100CA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
11386639649OTHERCANPI NATIONAL PROVIDER NUM

General Provider Information

NPI Number : 1386639649
Entity Type Code : Individual
Provider Name (Legal Business Name) : MARSHA L HARTBERG RNP
Provider Business Mailing Address
First Line : 6600 BRUCEVILLE RD
Second Line : STATION A OB/GYN CLINIC
City : SACRAMENTO
State : CA
Zip : 95823-4671
Country : US
Telephone Number : 916-688-2276
Fax Number :
Provider Business Practice Location Address
First Line : 6600 BRUCEVILLE RD
Second Line : STATION A OB/GYN CLINIC
City : SACRAMENTO
State : CA
Zip : 95823-4671
Country : US
Telephone Number : 916-688-2276
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/13/2005
Last Update Date : 07/09/2007

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