Individual
MRS. MICHELLE LEANN HARTKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, MSN, FNP-C
Contact information
Practice address
1619 N GREENWOOD ST STE 208, PUEBLO, CO 81003-2656
(719) 543-6633
Mailing address
1149 N PICKETWIRE LN, PUEBLO WEST, CO 81007-6571
(719) 242-7757
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
NP990297
CO
Other
Enumeration date
12/14/2011
Last updated
12/14/2011
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