# AUDREY CHEN HARTNETT

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1811554025
- **Gender:** F
- **Credential:** NP-C

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363L00000X | Nurse Practitioner | AP140543 | TX | Yes |

## Other

- **Enumeration date:** 05/22/2019
- **Last updated:** 10/04/2019

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 401053001 | — | TX |
| 01 | — | 401053002 | CSHCN (MEDICAID) | TX |
| 01 | — | 8LP901 | BCBS | TX |