Individual
FATMATA HARTLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7708 COPPERSHELL ST, BLACKLICK, OH 43004-7103
(614) 877-4362
Mailing address
7708 COPPERSHELL ST, BLACKLICK, OH 43004-7103
(614) 592-6975
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
APRN.CNP.0030432
OH
Other
Enumeration date
12/23/2021
Last updated
12/23/2021
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