Individual
DEVIN MARIE HARTZLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
9894 E 121ST ST, FISHERS, IN 46037-4154
(317) 621-4800
Mailing address
6626 E 75TH ST, SUITE 500, INDIANAPOLIS, IN 46250-2805
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
28173796A
IN
363L00000X
Nurse Practitioner
71004953B
IN
363LF0000X
Family Nurse Practitioner
Primary
71004953A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201233200
—
IN
01
—
71004953A
INDIANA STATE MEDICAL LICENSE
IN
01
—
71004953B
INDIANA STATE CSR
IN
01
—
P01424358
MEDICARE RR
IN
Enumeration date
06/19/2014
Last updated
06/17/2021
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