Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DIANE L HARTZOG, CRNA
ActiveDIANE L HARTZOG, CRNA is a Anesthesiologist Assistant healthcare provider located in WATERTOWN, Wisconsin. NPI 1871538744 is currently active in the NPPES registry. Verify at CMS.
Anesthesiologist Assistant · WATERTOWN, WI
Registration Details
- NPI Number
- 1871538744
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jun 17, 2006 (20.150053833964 yrs)
- Last Updated
- Mar 27, 2008
- License
-
78920030 (WI)
Practice Information
- Address
-
125 HOSPITAL DRIVEWATERTOWN, WI, 53098Browse WI providers · Browse ZIP 53098
- Phone
- 9202624450
- Primary Specialty
-
Anesthesiologist Assistant
367H00000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.