Individual
MICHELLE L HARTFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PAC
Contact information
Practice address
9 STEARNS LN, DANVILLE, PA 17821-8850
(570) 271-6784
Mailing address
100 N ACADEMY AVE # MC4903, DANVILLE, PA 17822-9800
(570) 271-6144
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
MA053628
PA
363AM0700X
Medical Physician Assistant
Primary
MA053628
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2109983
HIGHMARK BLUE SHIELD
PA
Enumeration date
09/16/2008
Last updated
03/19/2025
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