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Individual
MRS. MICHELLE A HARTLEY
Active
Individual
MRS. MICHELLE A HARTLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN-CNP
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
111935
WV
363L00000X
Nurse Practitioner
MH6838188
PA
363L00000X
Nurse Practitioner
NPPA066713
PA
363L00000X
Nurse Practitioner
RN555896
PA
363LA2200X
Adult Health Nurse Practitioner
APRN9230578
FL
363LF0000X
Family Nurse Practitioner
SP023204
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
003167041A
MEDICAID
GA
05
—
015388200
—
FL
01
—
IF890X
MEDICARE
FL
01
—
P01511610
RR MEDICARE
FL
01
—
Y0S7D
FL BLUE
FL
Enumeration date
07/23/2015
Last updated
04/15/2026
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