Individual
MARY ELIZABETH HARTWIG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH. D., APN
Contact information
Practice address
223 E JACKSON AVE, JONESBORO, AR 72401-3119
(870) 972-0063
(870) 930-2914
Mailing address
223 E JACKSON AVE, JONESBORO, AR 72401-3119
(870) 972-0063
(870) 930-2914
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
AO1219ANP
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
AO1219ANP
STATE LICENSE
AR
Enumeration date
08/20/2006
Last updated
07/08/2007
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