Individual
MS. MARY KAY HARTLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ACNP
Contact information
Practice address
4375 BOOTH CALLOWAY, STE 307, NORTH RICHLAND HILLS, TX 76180-8362
(817) 284-4343
(817) 590-4393
Mailing address
4375 BOOTH CALLOWAY, STE 307, NORTH RICHLAND HILLS, TX 76180-8362
(817) 284-4343
(817) 590-4393
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
515399
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
192926701
—
TX
Enumeration date
08/15/2005
Last updated
07/09/2010
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