Individual
MRS. MICHELLE LAVERNE HARTSHORN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ACNP
Contact information
Practice address
707 W VALLEY BLVD, TEHACHAPI, CA 93561-2119
(661) 822-2530
(661) 822-2536
Mailing address
4301 W MARKHAM ST # 783, LITTLE ROCK, AR 72205-7101
(501) 686-8000
(501) 526-5148
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
219418
AR
363LA2100X
Acute Care Nurse Practitioner
Primary
NP95000823
CA
Other
Enumeration date
06/27/2014
Last updated
04/02/2024
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