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Individual

SHANNON PAGE HARTMAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
C.R.N.P.

Contact information

Practice address
17812 COLLEGE RD, HAGERSTOWN, MD 21740-1709
(301) 582-0133
(301) 582-0133
Mailing address
16605 KENDLE RD, WILLIAMSPORT, MD 21795-1614
(301) 223-1241

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
R114691
MD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
824211
MAMSI
MD
Enumeration date
07/21/2006
Last updated
02/03/2008
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