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Individual

AMANDA LYNN HARTMAN

Active
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Individual

AMANDA LYNN HARTMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APRN

Taxonomy

Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
53-75743-081
KS

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
12436827
CAQH
NV
01
MB2693996
DEA
KS
Enumeration date
08/13/2012
Last updated
04/23/2025
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