Provider Demographics
NPI:1649513896
Name:HARTZELL, JONNA MICHELLE (LPN)
Entity type:Individual
Prefix:MRS
First Name:JONNA
Middle Name:MICHELLE
Last Name:HARTZELL
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:125 W LINCOLN AVE
Mailing Address - Street 2:
Mailing Address - City:TELFORD
Mailing Address - State:PA
Mailing Address - Zip Code:18969-1904
Mailing Address - Country:US
Mailing Address - Phone:215-703-0464
Mailing Address - Fax:
Practice Address - Street 1:1448 S OLD BETHLEHEM PIKE
Practice Address - Street 2:
Practice Address - City:QUAKERTOWN
Practice Address - State:PA
Practice Address - Zip Code:18951-2718
Practice Address - Country:US
Practice Address - Phone:215-536-2097
Practice Address - Fax:215-536-7671
Is Sole Proprietor?:Yes
Enumeration Date:2013-04-05
Last Update Date:2013-04-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPN255684L164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse