Hartley, Mary Beth
Hartley, Mary Beth is an individual health care provider with primary practice located at 1400 W 4Th St , Coffeyville KS 67337-3306. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. Hartley, Mary Beth can be contacted via phone (620) 688-6566.Contact Information
Primary practice address
1400 W 4Th St
Coffeyville KS 67337-3306
Phone: (620) 688-6566
Fax: (620) 688-6577
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | 45384 | Kansas |
Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 121186 | Missouri |
Profile Details
NPI number | 1073510764 |
---|---|
LBN Legal business name | Hartley, Mary Beth |
Credentials | Advanced Practice Registered Nurse (APRN) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jul 7th, 2005 |
Last updated | Nov 30th, 2016 - about 8 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1073510764 | NPPES |
Kansas | MEDICAID | 100446860G | |
Kansas | Other | 110385030 | |
Kansas | MEDICAID | 100446860D |
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