Individual
KATHRYN HARTZELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
AGNP-C
Contact information
Practice address
3752 S. GULFWAY DRIVE, PORT ARTHUR, TX 77640
(225) 337-2693
(281) 783-2899
Mailing address
6950 HOWE ST, GROVES, TX 77619-6209
(304) 657-2280
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
1045187
TX
Other
Enumeration date
10/19/2021
Last updated
10/19/2021
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