Organization
CHRONIC CARE MANAGEMENT LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JULIE ANNE HARTL MSN, FNP-C (OWNER)
(231) 421-6921
Entity
Organization
Contact information
Practice address
815 BUSINESS PARK DR STE A, TRAVERSE CITY, MI 49686-8683
(231) 421-6921
(231) 421-7852
Mailing address
801 JOE MANN BLVD STE P-6, MIDLAND, MI 48642-8900
(989) 791-2455
(989) 791-1392
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
—
—
133V00000X
Registered Dietitian
—
—
163W00000X
Registered Nurse
—
—
207Q00000X
Family Medicine Physician
Primary
—
—
213E00000X
Podiatrist
—
—
363L00000X
Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1801187778
—
MI
Enumeration date
03/27/2014
Last updated
07/06/2022
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