Individual provider · Type 1 NPI

Carol Gannon Hartman, CPNP

Pediatric Nurse Practitioner · Washington, DC

NPI number 1770686909 Active

Practice location

111 Michigan Ave NW, Room M3551
Washington, DC 20010-2916

Call (202) 476-3789 Map

Fax (202) 476-2440

Mailing address

13832 Wayside Dr
Clarksville, MD 21029-1305

Specialties and licenses

TaxonomyCodeLicense
Pediatric Nurse Practitioner Primary 363LP0200XRN40487 (DC)
Pediatric Nurse Practitioner 363LP0200XR127953 (MD)

Pediatric Nurse Practitioner: Definition to come...

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About NPI 1770686909

Carol Gannon Hartman, CPNP's National Provider Identifier is 1770686909, issued on Sep 6, 2006. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Washington, DC. The record was last updated on Oct 30, 2014.