Provider Demographics
NPI:1730451592
Name:HARTMAN, CONSTANCE WHITMIRE (CNP)
Entity type:Individual
Prefix:
First Name:CONSTANCE
Middle Name:WHITMIRE
Last Name:HARTMAN
Suffix:
Gender:F
Credentials:CNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4399 CLARK SHAW RD
Mailing Address - Street 2:STE 510
Mailing Address - City:POWELL
Mailing Address - State:OH
Mailing Address - Zip Code:43065-9175
Mailing Address - Country:US
Mailing Address - Phone:614-208-2444
Mailing Address - Fax:
Practice Address - Street 1:745 W STATE ST
Practice Address - Street 2:STE 510
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43222-1515
Practice Address - Country:US
Practice Address - Phone:614-464-0788
Practice Address - Fax:614-464-0295
Is Sole Proprietor?:Yes
Enumeration Date:2012-02-08
Last Update Date:2017-03-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH31897988363LA2100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2100XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute Care