Individual
JOSEPH DAVID HARTMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
APRN, CRNA
Contact information
Practice address
1055 N CURTIS RD, BOISE, ID 83706-1309
(208) 367-2121
Mailing address
12271 W ROCKBURY CT, BOISE, ID 83709-0017
(208) 860-7944
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
3007
MN
367500000X
Certified Registered Nurse Anesthetist
Primary
78477
ID
Other
Enumeration date
01/10/2024
Last updated
07/31/2024
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