Individual
MS. KATHY HARTLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
C.N.M.
Contact information
Practice address
960 LEARNING WAY, TALLAHASSEE, FL 32306-4178
(850) 644-1802
(850) 644-4251
Mailing address
960 LEARNING WAY, TALLAHASSEE, FL 32306-4178
(850) 644-1802
(850) 644-4251
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
1429542
FL
363LX0001X
Obstetrics & Gynecology Nurse Practitioner
1429542
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
340071900
—
FL
Enumeration date
03/31/2006
Last updated
03/30/2017
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