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Individual

MS. MARY ELIZABETH HARTSELL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
1500 SUNDAY DR STE 200, RALEIGH, NC 27607-5151
(919) 322-2413
(919) 322-2416
Mailing address
1500 SUNDAY DR, STE 200, RALEIGH, NC 27607-5151
(919) 322-2413
(919) 322-2416

Taxonomy

Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
201194
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
7000168
NC
Enumeration date
09/27/2006
Last updated
01/23/2024
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