Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 363L00000X | Nurse Practitioner | RN255841 | OH |
Y | 363LF0000X | Nurse Practitioner - Family Medicine | 05224 | OH |
NPI | 1013061498 |
---|---|
Provider Name | Anna Patricia Hartz |
First Address | West Chester, OH 45069-1547 |
Second Address | Cincinnati, OH 45249-1743 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 22/01/2007 |
Last Update Date | 10/08/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
05224RX | CTP (01) | OH |
NP05224 | CNP (01) | OH |
P29774 | (02) |