Individual
KYLIE LOUISE HARTNETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
5304 W CROCUS DR, GLENDALE, AZ 85306-4318
(623) 412-4516
Mailing address
5304 W CROCUS DR, GLENDALE, AZ 85306-4318
(623) 412-4516
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LP054524
AZ
Other
Enumeration date
08/22/2024
Last updated
08/22/2024
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