Individual
MRS. ELIZABETH H HARTMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ANP
Contact information
Practice address
41 MEDICAL VILLAGE DR, NEWPORT, VT 05855-9835
(802) 334-3504
(802) 334-3512
Mailing address
41 MEDICAL VILLAGE DR, NEWPORT, VT 05855-9835
(802) 334-3504
(802) 334-3512
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
1010009657
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00028667
BLUE SHIELD
VT
05
—
0NP0618
—
VT
01
—
356627
MVP
VT
01
—
500004079
RAILROAD MEDICARE
VT
01
—
8000222
LADIES FIRST
VT
Enumeration date
08/31/2006
Last updated
06/16/2009
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