Healthcare Provider Details

I. General information

NPI: 1699686261
Provider Name (Legal Business Name): MADISON LEE HARTMAN CRNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/14/2026
Last Update Date: 09/14/2026
Certification Date: 09/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2110 HARRISBURG PIKE STE 310
LANCASTER PA
17601-2644
US

IV. Provider business mailing address

1016 WOODRIDGE BLVD
LANCASTER PA
17601-2251
US

V. Phone/Fax

Practice location:
  • Phone: 717-544-3232
  • Fax:
Mailing address:
  • Phone: 717-602-2694
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberSP033307
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: