Organization
JANNA HARTLE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JANNA HARTLE APRN (OWNER)
(801) 274-1447
Entity
Organization
Contact information
Practice address
1553 STONEMOOR CIR, SALT LAKE CITY, UT 84121-2515
(801) 274-1447
(801) 273-0775
Mailing address
1553 STONEMOOR CIR, SALT LAKE CITY, UT 84121-2515
(801) 274-1447
(801) 273-0775
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
201619-4405
UT
Other
Enumeration date
02/15/2008
Last updated
02/15/2008
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