Individual
DIANNA LYNN HARTLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
630 EAST RIVER ROAD, ELYRIA, OH 43035
(440) 329-7500
Mailing address
39722 SMITH RD, SPENCER, OH 44275-9602
(330) 592-8100
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
024692
OH
363LF0000X
Family Nurse Practitioner
Primary
APRN.CNP.024692
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
024692
CNP
OH
Enumeration date
07/18/2019
Last updated
10/28/2019
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