Individual
MRS. NADINE JO HARTWIG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
4001 DEVON ST SE, HUNTSVILLE, AL 35802-1017
(256) 604-0294
Mailing address
9900 BREN RD E, MINNETONKA, MN 55343-9664
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
1-040411
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
111645
—
AL
01
—
510-50070
BCBS OF ALABAMA
AL
01
—
510I500312
MEDICARE
AL
01
—
515-92876
BCBS OF ALABAMA
AL
01
—
515-93827
BCBS OF ALABAMA
AL
01
—
515-93828
BCBS OF ALABAMA
AL
01
—
515-93829
BCBS OF ALABAMA
AL
01
—
515-95257
BCBS OF ALABAMA
AL
01
—
515-95464
BCBS OF ALABAMA
AL
05
—
528701110
—
AL
01
—
CA0084
RR MEDICARE
AL
Enumeration date
04/15/2008
Last updated
06/26/2020
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