Hartnett, Patricia Marie

Hartnett, Patricia Marie is an individual health care provider with primary practice located at 642 Dameron Dr , Prescott AZ 86301-2411. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, which is considered as her primary health care specialty. Hartnett, Patricia Marie can be contacted via phone (928) 445-5211.

Contact Information

Primary practice address
642 Dameron Dr Prescott AZ 86301-2411
Phone: (928) 445-5211
Fax: (928) 776-8484
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 364SP0808X 1606 Arizona

Profile Details

NPI number 1336226901
LBN Legal business name Hartnett, Patricia Marie
Credentials PA C
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 1st, 2006
Last updated Jul 8th, 2007 - about 17 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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Identifiers

StateTypeNumberIssuer
All States NPI 1336226901 NPPES
Arizona MEDICAID 535487

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