Individual
MR. DANIEL JOHN HARTLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN, MSN, NP
Contact information
Practice address
1200 B GALE WILSON BLVD, MS 10-100, FAIRFIELD, CA 94533-3552
(707) 864-5383
Mailing address
136 CHAFFEY CT, VACAVILLE, CA 95687-4619
(707) 451-4123
Taxonomy
Speciality
Code
Description
License number
State
163WR0006X
Registered Nurse First Assistant
RN523252
CA
363LF0000X
Family Nurse Practitioner
Primary
NP 15794
CA
Other
Enumeration date
12/13/2006
Last updated
12/31/2008
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