Individual
ANDREA HARTLINE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
650 JOEL DR, FORT CAMPBELL, KY 42223-5318
(270) 798-8500
Mailing address
36065 SANTA FE AVE, FORT CAVAZOS, TX 76544-5060
Taxonomy
Speciality
Code
Description
License number
State
171000000X
Military Health Care Provider
—
—
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
02/08/2019
Last updated
05/22/2025
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