Individual
MICHELLE RAE HARTNAGEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
24276 AIRPORT RD, EAGLE BUTTE, SD 57625-8021
(605) 964-0571
Mailing address
PO BOX 92, FAITH, SD 57626-0092
(314) 605-4449
Taxonomy
Speciality
Code
Description
License number
State
163WE0003X
Emergency Registered Nurse
Primary
2010005618
MO
Other
Enumeration date
02/04/2020
Last updated
02/04/2020
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