Individual
MR. JAMES MICHAEL HARTLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
5777 E MAYO BLVD, PHOENIX, AZ 85054-4502
(480) 342-1800
Mailing address
5777 E MAYO BLVD, PHOENIX, AZ 85054-4502
(480) 342-1800
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
269181
AZ
367500000X
Certified Registered Nurse Anesthetist
CRNA000489
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
114276805
—
TN
Enumeration date
09/10/2012
Last updated
05/19/2022
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