Provider Demographics
NPI:1215354733
Name:HARTMAN, LYNN M (APRN, NP-C, PMHNP-BC)
Entity type:Individual
Prefix:
First Name:LYNN
Middle Name:M
Last Name:HARTMAN
Suffix:
Gender:F
Credentials:APRN, NP-C, PMHNP-BC
Other - Prefix:
Other - First Name:LYNN
Other - Middle Name:
Other - Last Name:HARTMAN-SHEEHAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:APRN, NP-C, PMHNP-BC
Mailing Address - Street 1:145 CILLEY RD STE 103
Mailing Address - Street 2:
Mailing Address - City:MANCHESTER
Mailing Address - State:NH
Mailing Address - Zip Code:03103-5164
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:145 CILLEY RD STE UNIT103
Practice Address - Street 2:
Practice Address - City:MANCHESTER
Practice Address - State:NH
Practice Address - Zip Code:03103-5775
Practice Address - Country:US
Practice Address - Phone:603-557-3505
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-03-21
Last Update Date:2024-04-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH053388-23363LF0000X, 363LP0808X
MARN260859363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
NH3101899Medicaid