Individual provider · Type 1 NPI

Melissa Shea Hartzell, PA-C

Medical Physician Assistant · Rockford, IL

NPI number 1871876508 Active

Practice location

1200 W State St
Rockford, IL 61102-2112

Call (815) 490-1600 Map

Fax (815) 490-1881

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700X085004137 (IL)

Medical Physician Assistant: Definition to come...

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About NPI 1871876508

Melissa Shea Hartzell, PA-C's National Provider Identifier is 1871876508, issued on Sep 20, 2011. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Rockford, IL. The record was last updated on Feb 19, 2013.