Virginia Hartner, RN

Individual provider Active NPI Perinatal Registered Nurse · New Haven, MI

NPI 1336246792 · NPPES record last updated Jul 8, 2007

Key facts

NPI
1336246792
Entity type
Individual (NPI type 1)
Primary specialty
Perinatal Registered Nurse 163WP1700X
License
4704190097 (MI)
Practice address
58144 Gratiot Avenue
New Haven, MI 48048
Phone
(810) 794-4982
Fax
(810) 794-4407
NPI assigned
Sep 20, 2006
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
4704190097MIMDPerinatal Registered Nurse

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Perinatal Registered Nurse 163WP1700X 4704190097 MI Yes

Addresses

Primary practice location

58144 Gratiot Avenue
New Haven, MI 48048

Mailing address

58144 Gratiot Avenue
P.O. Box 480430
New Haven, MI 48048
Phone (810) 794-4982

Other providers in New Haven, MI

All providers in New Haven, MI · Perinatal Registered Nurse in Michigan

Sources for this page

Verify at the official NPI Registry.