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Individual

KARA L HARTMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
ARNP

Contact information

Practice address
1901 MERIDIAN ST SO STE A, PUYALLUP, WA 98371
(253) 848-2303
Mailing address
1901 MERIDIAN ST SO STE A, PUYALLUP, WA 98371
(253) 848-2303

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
359149
OH
363L00000X
Nurse Practitioner
AP60355500
WA
363LP0200X
Pediatric Nurse Practitioner
12586-NP
OH
363LP0200X
Pediatric Nurse Practitioner
Primary
AP60355500
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0064178
OH
Enumeration date
09/29/2011
Last updated
11/12/2014
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