Provider Demographics
NPI:1124817184
Name:HARTMAN, ADDIE LYNNE
Entity type:Individual
Prefix:
First Name:ADDIE
Middle Name:LYNNE
Last Name:HARTMAN
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:380 W 22ND ST APT 401
Mailing Address - Street 2:
Mailing Address - City:KANSAS CITY
Mailing Address - State:MO
Mailing Address - Zip Code:64108-2057
Mailing Address - Country:US
Mailing Address - Phone:402-831-1171
Mailing Address - Fax:
Practice Address - Street 1:2958 CROWN POINTE RD
Practice Address - Street 2:
Practice Address - City:LINCOLN
Practice Address - State:NE
Practice Address - Zip Code:68506-4155
Practice Address - Country:US
Practice Address - Phone:402-831-1711
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-05-05
Last Update Date:2025-05-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes372600000XNursing Service Related ProvidersAdult Companion