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Individual

MRS. NICOLE MARIE HARTMANN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
21 W HORIZON RIDGE PKWY, HENDERSON, NV 89012-5307
(866) 389-2727
(866) 389-2727
Mailing address
21 W HORIZON RIDGE PKWY, HENDERSON, NV 89012-5307
(866) 389-2727

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
OA002709
PA
363A00000X
Physician Assistant
Primary
PA1630
NV
363AM0700X
Medical Physician Assistant
25MP00284900
NJ
363AM0700X
Medical Physician Assistant
MA055029
PA

Other

Enumeration date
12/03/2011
Last updated
01/05/2017
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