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NPI Code Detail

MEDICARE: RICHARD MICHAEL HARTMAN CRNA

MEDICARE: RICHARD MICHAEL HARTMAN CRNA
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
1363A00000XPhysician Assistant496319NY
2367500000XCertified Registered Nurse AnesthetistARNP 3069162FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1831179878
Entity Type Code : Individual
Provider Name (Legal Business Name) : RICHARD MICHAEL HARTMAN CRNA
Provider Business Mailing Address
First Line : 2621 UMBRELLA TREE DR
Second Line :
City : EDGEWATER
State : FL
Zip : 32141-5311
Country : US
Telephone Number : 386-846-8181
Fax Number :
Provider Business Practice Location Address
First Line : 2621 UMBRELLA TREE DR
Second Line :
City : EDGEWATER
State : FL
Zip : 32141-5311
Country : US
Telephone Number : 386-846-8181
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/17/2006
Last Update Date : 07/22/2023

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