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Individual

HOLLY R HARTMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CNP

Contact information

Practice address
2450 RIVERSIDE AVE, MINNEAPOLIS, MN 55454-1450
(612) 273-7032
Mailing address
2450 RIVERSIDE AVE, MINNEAPOLIS, MN 55454-1450
(612) 273-7032

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
CNP5087
MN
363L00000X
Nurse Practitioner
COA.16474-NP
OH
363LN0000X
Neonatal Nurse Practitioner
Primary
5087
MN

Other

Enumeration date
09/09/2014
Last updated
06/22/2022
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