Hartley, Shanda T
Hartley, Shanda T is an individual health care provider with primary practice located at 207 Crestmont Way , Canton GA 30114-8875. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Hartley, Shanda T can be contacted via phone (678) 880-6698.Contact Information
Primary practice address
207 Crestmont Way
Canton GA 30114-8875
Phone: (678) 880-6698
Fax: (470) 299-9936
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | RN174554 NP | Georgia |
Profile Details
| NPI number | 1588703565 |
|---|---|
| LBN Legal business name | Hartley, Shanda T |
| Credentials | Family Nurse Practitioner (FNP) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 6th, 2007 |
| Last updated | Mar 18th, 2015 - about 9 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.
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