Hartsell, Colleen Lucia

Hartsell, Colleen Lucia is an individual health care provider with primary practice located at 104 Stuart Rd Ne , Cleveland TN 37312-4803. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Hartsell, Colleen Lucia can be contacted via phone (423) 476-2464.

Contact Information

Primary practice address
104 Stuart Rd Ne Cleveland TN 37312-4803
Phone: (423) 476-2464
Fax: (423) 476-1008
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 0956 Tennessee

Profile Details

NPI number 1508882580
LBN Legal business name Hartsell, Colleen Lucia
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 14th, 2006
Last updated Aug 21st, 2020 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1508882580 NPPES
Tennessee MEDICAID 4051092

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