Individual
CAROL GANNON HARTMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPNP
Contact information
Practice address
111 MICHIGAN AVE NW, ROOM M3551, WASHINGTON, DC 20010-2916
(202) 476-3789
(202) 476-2440
Mailing address
13832 WAYSIDE DR, CLARKSVILLE, MD 21029-1305
(301) 854-1513
(202) 476-2440
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
R127953
MD
363LP0200X
Pediatric Nurse Practitioner
Primary
RN40487
DC
Other
Enumeration date
09/06/2006
Last updated
10/30/2014
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