Individual
MRS. AMANDA LEE HARTSHORN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN MSN
Contact information
Practice address
820 PONDEROSA CT, EATON, CO 80615-3558
(970) 980-9505
Mailing address
820 PONDEROSA CT, EATON, CO 80615-3558
(970) 980-9506
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN.0189873
CO
163WC0400X
Case Management Registered Nurse
Primary
RN.0189873
CO
Other
Enumeration date
07/01/2020
Last updated
07/01/2020
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