Individual
MISTY R HARTMIRE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NURSE PRACTITIONER
Contact information
Practice address
101 NW 1ST ST STE 215, EVANSVILLE, IN 47708-1259
(124) 375-1928
(270) 826-0212
Mailing address
452 OLD CORYDON RD, HENDERSON, KY 42420-4645
(270) 826-0200
(270) 826-0212
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
3007632
KY
363LF0000X
Family Nurse Practitioner
Primary
71009038A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
300029096
—
IN
05
—
7100230100
—
KY
Enumeration date
09/05/2012
Last updated
08/01/2023
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