Individual
AMY J. HARTMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
N.P.
Contact information
Practice address
611 E DOUGLAS RD, SUITE 408, MISHAWAKA, IN 46545-1464
(574) 335-6440
(574) 335-0806
Mailing address
57640 BOULDER CT, GOSHEN, IN 46528-7859
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
71001779
IN
367A00000X
Advanced Practice Midwife
Primary
71001779A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000341502
ANTHEM
IN
01
—
000001006136
ANTHEM OB/GYN
IN
05
—
200492340
—
IN
Enumeration date
03/22/2006
Last updated
09/28/2022
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