Provider Demographics
NPI:1124632310
Name:HARTUNG, ALLISON STRASSER (APRN, FNP-BC)
Entity type:Individual
Prefix:
First Name:ALLISON
Middle Name:STRASSER
Last Name:HARTUNG
Suffix:
Gender:F
Credentials:APRN, FNP-BC
Other - Prefix:
Other - First Name:ALLISON
Other - Middle Name:ASHLEY
Other - Last Name:STRASSER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:5025 WESLEYAN DR
Mailing Address - Street 2:
Mailing Address - City:WOODSTOCK
Mailing Address - State:GA
Mailing Address - Zip Code:30189-6611
Mailing Address - Country:US
Mailing Address - Phone:561-702-6775
Mailing Address - Fax:
Practice Address - Street 1:2455 PACES FERRY AVE
Practice Address - Street 2:
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30339-6444
Practice Address - Country:US
Practice Address - Phone:678-290-5740
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-09-03
Last Update Date:2022-12-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GARN297363363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily