Individual
AMELIA MARY HARTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
4949 HEALTHY WAY STE D, EVANSVILLE, IN 47715-1180
(812) 450-8720
Mailing address
4949 HEALTHY WAY STE D, EVANSVILLE, IN 47715-1180
(812) 450-8720
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
10003054A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
300023007
—
IN
Enumeration date
07/13/2020
Last updated
10/12/2024
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