Individual
MARY F HARTMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
1800 E LAKE SHORE DR, DECATUR, IL 62521-3810
(217) 464-2729
(217) 464-1693
Mailing address
1465 SILVER LEAF AVE, MT ZION, IL 62549-1780
(217) 422-3350
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
209-001121
IL
Other
Enumeration date
07/07/2005
Last updated
01/04/2024
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