# MS. MONICA RENEE HARTUNG

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1790143865
- **Gender:** F
- **Credential:** P.A

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Y00000X | Otolaryngology Physician | 10001799A | IN | — |
| 363A00000X | Physician Assistant | 10001799A | IN | Yes |

## Other

- **Enumeration date:** 02/04/2016
- **Last updated:** 07/07/2025

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 10001799A | LICENSE - IN | IN |