Elizabeth Brooke Hartley, L.AC, M.OM, NTP
Individual provider Active NPI Acupuncturist · Freeland, MD
NPI 1407359730 · NPPES record last updated Apr 29, 2021
Key facts
- NPI
- 1407359730
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Acupuncturist 171100000X
- License
- U02160 (MD)
- Practice address
- 20015 Middletown Rd
Freeland, MD 21053-9433 - Phone
- (207) 664-3152
- Fax
- (207) 664-3152
- NPI assigned
- Mar 13, 2018
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| U02160 | MD | MD | Acupuncturist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Regenerative Holistic Wellness LLC | Acupuncturist | Current |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acupuncturist |
171100000X | U02160 | MD | Yes |
Addresses
Primary practice location
20015 Middletown Rd
Freeland, MD 21053-9433
Mailing address
20015 Middletown Rd
Freeland, MD 21053-9433
Phone (207) 664-3152
Other providers in Freeland, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 29, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.