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General NPI Number Information
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NPI Number | 1932668456
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Entity Type | Individual
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Provider Name | AMY ANNETTE HARTMAN NURSE PRACTITIONER
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Gender | Female
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Dates
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Enumeration Date | 03/14/2019
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Last Update Date | 10/15/2025
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Provider Practice Location Address
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Address Line | 1310 CHURCH ST
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City | LYNCHBURG
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State | VA
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Zip | 24504-4604
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Country | US
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Telephone | 434-847-5050
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Fax | 434-215-3993
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Provider Business Mailing Address
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Address Line | 1289 DEER HOLLOW RD
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City | FOREST
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State | VA
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Zip | 24551-1297
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Country | US
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Telephone | 804-551-6811
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Fax | 434-215-3993
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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 | 0024176805
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License Number State | VA
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Taxonomy #2
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 0024176805
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License Number State | VA
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