Individual
ANDREW DOUGLAS HARTZELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1710 HARRISON ST, BATESVILLE, AR 72501-7303
(870) 262-1200
Mailing address
100 PLANTATION LN, BATESVILLE, AR 72501-8342
(501) 733-0561
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
R086645
AR
367500000X
Certified Registered Nurse Anesthetist
Primary
220375
AZ
Other
Enumeration date
02/12/2016
Last updated
10/24/2022
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