Individual
PATRICIA MARIE HARTNETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA C
Contact information
Practice address
642 DAMERON DR, PRESCOTT, AZ 86301-2411
(928) 445-5211
(928) 776-8484
Mailing address
642 DAMERON DR, PRESCOTT, AZ 86301-2411
(928) 445-5211
(928) 776-8484
Taxonomy
Speciality
Code
Description
License number
State
364SP0808X
Psychiatric/Mental Health Clinical Nurse Specialist
Primary
1606
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
535487
—
AZ
Enumeration date
11/01/2006
Last updated
07/08/2007
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