Individual
MR. JODIE VINCENT HARTZELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
4000 JOHNSON RD, STEUBENVILLE, OH 43952-2300
(740) 264-8000
Mailing address
115 WOODLAND PARK, WINTERSVILLE, OH 43953-3855
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
APRN.CRNA.08149
OH
367500000X
Certified Registered Nurse Anesthetist
RN352146L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
101171560
—
PA
05
—
2173964
—
OH
Enumeration date
02/10/2006
Last updated
11/02/2016
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