Individual
ANDREA DAWN HARTQUIST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
107 CEDAR DR, PORTLAND, TX 78374-2935
(361) 643-6623
(361) 643-6964
Mailing address
107 CEDAR DR, PORTLAND, TX 78374-2935
(361) 643-6623
(361) 643-6964
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
1052240
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1052240
TX BOARD OF NURSING
TX
Enumeration date
09/17/2021
Last updated
07/13/2026
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