Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LN0005X | Nurse Practitioner - Neonatal (Critical Care) | 585585/ NP 17253 | CA |
NPI | 1205079829 |
---|---|
Provider Name | Mrs. Kathleen Sue Hartnett |
First Address | Clovis, CA 93619-9416 |
Second Address | Fresno, CA 93721-1324 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 13/04/2009 |
Last Update Date | 31/01/2011 |