Healthcare Provider Details

I. General information

NPI: 1003958364
Provider Name (Legal Business Name): LAURIE S HARTMAN APRN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/13/2007
Last Update Date: 09/27/2023
Certification Date: 09/27/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

325 9TH AVE HARBORVIEW MEDICAL CENTER, GENERAL SURGERY DEPARTMENT
SEATTLE WA
98104-2420
US

IV. Provider business mailing address

PO BOX 50095
SEATTLE WA
98145-5095
US

V. Phone/Fax

Practice location:
  • Phone: 206-744-3456
  • Fax: 206-744-8573
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LA2100X
TaxonomyAcute Care Nurse Practitioner
License NumberAP 60324483
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: