Individual
HILLARIE A. HARTZELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
90 MEDICAL PARK DR STE 1000, LEWISBURG, PA 17837-6343
(570) 524-2722
(570) 524-0362
Mailing address
1 HOSPITAL DR STE 306, LEWISBURG, PA 17837-9350
(570) 522-4110
(570) 768-3911
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
OA003061
PA
363AM0700X
Medical Physician Assistant
Primary
MA056147
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
298570F6K
MEDICARE PTAN
PA
Enumeration date
06/20/2013
Last updated
06/08/2022
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