Individual
MICAH HAERTNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
100 HILLCREST MEDICAL BLVD, WACO, TX 76712-8897
(254) 202-2000
Mailing address
1260 E STEGALL RD, ROBINSON, TX 76706-5409
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
1169467
TX
363L00000X
Nurse Practitioner
Primary
856192
TX
Other
Enumeration date
05/01/2024
Last updated
08/07/2026
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