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Individual

MS. SARAH REBECCA HARTMANN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
AGNP

Contact information

Practice address
10012 KENNERLY RD STE 102, SAINT LOUIS, MO 63128-2197
(314) 543-5911
(314) 543-5914
Mailing address
10012 KENNERLY RD STE 102, SAINT LOUIS, MO 63128-2197
(314) 543-5911
(314) 543-5914

Taxonomy

Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
2017041073
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
420049835
MO
Enumeration date
11/17/2017
Last updated
05/08/2025
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