Provider Demographics
NPI:1023523412
Name:HARTMANN, KATELIN JUDITH (FNP-C)
Entity type:Individual
Prefix:
First Name:KATELIN
Middle Name:JUDITH
Last Name:HARTMANN
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:
Other - First Name:KATELIN
Other - Middle Name:JUDITH
Other - Last Name:PRUISMANN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:903 WILLSON AVE
Mailing Address - Street 2:
Mailing Address - City:WEBSTER CITY
Mailing Address - State:IA
Mailing Address - Zip Code:50595-2214
Mailing Address - Country:US
Mailing Address - Phone:515-524-6060
Mailing Address - Fax:515-524-6061
Practice Address - Street 1:903 WILLSON AVE
Practice Address - Street 2:
Practice Address - City:WEBSTER CITY
Practice Address - State:IA
Practice Address - Zip Code:50595-2214
Practice Address - Country:US
Practice Address - Phone:515-524-6060
Practice Address - Fax:515-524-6061
Is Sole Proprietor?:No
Enumeration Date:2017-12-06
Last Update Date:2022-10-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IAA136840207N00000X, 363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No207N00000XAllopathic & Osteopathic PhysiciansDermatology