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Individual

MS. JOHANNA M HARTLEIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
FNP

Contact information

Practice address
4921 PARKVIEW PL, DIV NEUROLOGY MOVEMENT DISORDERS, 7TH FL, SAINT LOUIS, MO 63110-1032
(314) 362-6908
(314) 747-3258
Mailing address
PO BOX 959203, SAINT LOUIS, MO 63195-9203
(314) 305-1447
(314) 996-4546

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
155903
MO
363LF0000X
Family Nurse Practitioner
Primary
155903
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
427536701
MO
Enumeration date
08/30/2006
Last updated
05/04/2026
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