Healthcare Provider Details

I. General information

NPI: 1013061498
Provider Name (Legal Business Name): ANNA PATRICIA HARTZ RN CFNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/22/2007
Last Update Date: 08/10/2021
Certification Date: 08/10/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11611 PLUMHILL DR
CINCINNATI OH
45249-1743
US

IV. Provider business mailing address

7217 CINCINNATI DAYTON RD
WEST CHESTER OH
45069-1547
US

V. Phone/Fax

Practice location:
  • Phone: 513-200-8483
  • Fax:
Mailing address:
  • Phone: 513-759-3301
  • Fax: 513-624-2704

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License NumberRN255841
License Number StateOH
# 2
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number05224
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: