Healthcare Provider Details

I. General information

NPI: 1578868659
Provider Name (Legal Business Name): MARIKA W HARTMAN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/20/2011
Last Update Date: 09/30/2025
Certification Date: 09/30/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1717 LANGHORNE-NEWTOWN RD STE 402
LANGHORNE PA
19047
US

IV. Provider business mailing address

1717 LANGHORNE-NEWTOWN RD STE 402
LANGHORNE PA
19047
US

V. Phone/Fax

Practice location:
  • Phone: 215-750-7000
  • Fax: 215-750-9572
Mailing address:
  • Phone: 215-750-7000
  • Fax: 215-750-9572

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LA2200X
TaxonomyAdult Health Nurse Practitioner
License NumberSP011101
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: