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Individual

ANDREA DAWN HARTQUIST

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
FNP

Contact information

Practice address
5826 ESPLANADE DR STE 102, CORPUS CHRISTI, TX 78414-4198
(361) 500-2898
(361) 334-0794
Mailing address
PO BOX 61160, CORPUS CHRISTI, TX 78466-1160
(405) 762-1790
(361) 857-0572

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
09/17/2021
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