Individual
ELLEN E HARTMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
5257 S WADSWORTH BLVD, LITTLETON, CO 80123-2228
(303) 338-4545
Mailing address
10350 E DAKOTA AVE, DENVER, CO 80247-1314
(303) 338-4545
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA-548
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
021973
KAISER COMMERCIAL NUMBER
CO
05
—
36205028
—
CO
01
—
P00002637
MEDICARE RAILROAD
—
Enumeration date
06/04/2006
Last updated
06/11/2021
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