Individual
ANTOINETTE LYNN HARTMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN
Contact information
Practice address
12 E APPLEBY RD, STE 101, FAYETTEVILLE, AR 72703-3901
(479) 463-4444
(479) 463-4499
Mailing address
12 E APPLEBY RD, STE 101, FAYETTEVILLE, AR 72703-3901
(479) 463-4444
(479) 463-4499
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
AO1924
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5Y873
BLUE CROSS
AR
Enumeration date
06/16/2006
Last updated
04/25/2011
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