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NPI Code Detail

MEDICARE: JANIE D HARTMAN FNP-BC

MEDICARE: JANIE D HARTMAN FNP-BC
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 Practitioner17968SC

General Provider Information

NPI Number : 1366799272
Entity Type Code : Individual
Provider Name (Legal Business Name) : JANIE D HARTMAN FNP-BC
Provider Business Mailing Address
First Line : 105 CROOKED CREEK RD
Second Line :
City : HENDERSONVILLE
State : NC
Zip : 28739-6819
Country : US
Telephone Number : 828-699-2479
Fax Number :
Provider Business Practice Location Address
First Line : 1888 BOILING SPRINGS RD
Second Line :
City : SPARTANBURG
State : SC
Zip : 29316-5124
Country : US
Telephone Number : 864-599-0920
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/09/2012
Last Update Date : 08/09/2012

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