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General NPI Number Information
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NPI Number | 1639418635
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Entity Type | Individual
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Provider Name | MICHELLE DIANE HARTMAN FNP-C
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Gender | Female
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Dates
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Enumeration Date | 02/11/2013
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Last Update Date | 11/12/2025
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Provider Practice Location Address
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Address Line | 4715 SULLIVAN SLOUGH RD
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City | BURLINGTON
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State | IA
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Zip | 52601-9013
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Country | US
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Telephone | 319-752-4000
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Fax | 319-758-6650
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Provider Business Mailing Address
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Address Line | 4715 SULLIVAN SLOUGH RD
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City | BURLINGTON
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State | IA
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Zip | 52601-9013
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Country | US
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Telephone | 319-752-4000
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Fax | 319-758-6650
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 277001203
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License Number State | IL
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Taxonomy #2
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 091591
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License Number State | IA
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Taxonomy #3
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 041333534
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License Number State | IL
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Taxonomy #4
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | A091591
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License Number State | IA
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Taxonomy #5
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | G183675
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License Number State | IA
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