Individual
BRENT F HARTSFIELD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
9601 INTERSTATE 630 EXIT 7, LITTLE ROCK, AR 72205-7202
(501) 202-2093
Mailing address
4301 W MARKHAM ST # 783, LITTLE ROCK, AR 72205-7101
(501) 686-8000
(501) 526-6562
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
C02667
AR
367500000X
Certified Registered Nurse Anesthetist
Primary
C002667
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
166831001
—
AR
01
—
9340125
AETNA
AR
Enumeration date
08/28/2007
Last updated
08/21/2014
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