Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 363L00000X | Nurse Practitioner | 4704197862 | MI |
Y | 363LA2100X | Nurse Practitioner - Acute Care | AP 60324483 | WA |
NPI | 1003958364 |
---|---|
Provider Name | Dr. Laurie S Hartman |
First Address | Seattle, WA 98104-2420 |
Second Address | Seattle, WA 98104-2420 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 13/02/2007 |
Last Update Date | 01/03/2013 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
4371947 | (05) | MI |
P09978 | (02) | MI |