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NPI Code Detail

MEDICARE: MS. MARY ALEXANDRA HARTMAN APRN

MEDICARE: MS. MARY ALEXANDRA HARTMAN APRN
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LF0000XFamily Nurse PractitionerR164047MD
2363L00000XNurse Practitioner13819CT
3363L00000XNurse PractitionerR164047MD

General Provider Information

NPI Number : 1184814923
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. MARY ALEXANDRA HARTMAN APRN
Provider Business Mailing Address
First Line : 22 SOUTH GREEN STREET
Second Line :
City : BALTIMORE
State : MD
Zip : 21201
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 85 LAFAYETTE ST
Second Line :
City : NEW BRITAIN
State : CT
Zip : 06051-1803
Country : US
Telephone Number : 860-224-3642
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/27/2007
Last Update Date : 09/09/2024

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