Individual
MS. SHARON POWERS HARTZOG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
132 POPLAR GROVE CONNECTOR, SUITE B, BOONE, NC 28607-5915
(828) 264-8759
(828) 262-5687
Mailing address
284 EXECUTIVE PARK DR, SUITE 100, CONCORD, NC 28025-1831
(704) 939-1100
(704) 939-1173
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
188644
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PENDING
TRICARE PROVIDER ID #
NC
Enumeration date
10/23/2006
Last updated
07/30/2013
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