Individual
MS. AMANDA N HARTMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN-CRNA
Contact information
Practice address
251 E HURON ST, FEINBERG 5-704 NORTHWESTERN MEDICAL FACULTY, CHICAGO, IL 60611-2908
(312) 695-4146
Mailing address
251 E HURON ST, FEINBERG 5-704, CHICAGO, IL 60611-2908
(312) 695-4146
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
209.006756
IL
367500000X
Certified Registered Nurse Anesthetist
NA3345
CA
Other
Enumeration date
06/08/2006
Last updated
10/20/2024
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