MEDICARE: MR. CHRISTOPHER JAMES HARTIGAN RN,BC,FNP

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
1	363LF0000X	Family Nurse Practitioner	124699	MO

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1336132091
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. CHRISTOPHER JAMES HARTIGAN RN,BC,FNP

Provider Business Mailing Address
First Line	:	1001 W WORLEY ST
Second Line	:	FAMILY HEALTH CENTER OF BOONE COUNTY
City	:	COLUMBIA
State	:	MO
Zip	:	65203-2037
Country	:	US
Telephone Number	:	573-214-2314
Fax Number	:	573-814-2784

Provider Business Practice Location Address
First Line	:	1001 W WORLEY ST
Second Line	:	FAMILY HEALTH CENTER OF BOONE COUNTY
City	:	COLUMBIA
State	:	MO
Zip	:	65203-2037
Country	:	US
Telephone Number	:	573-214-2314
Fax Number	:	573-814-2784

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/29/2005
Last Update Date	:	03/04/2020

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