Provider Demographics
NPI:1215616644
Name:HARTMAN, KIRA (CPNP-PC, RN)
Entity type:Individual
Prefix:
First Name:KIRA
Middle Name:
Last Name:HARTMAN
Suffix:
Gender:F
Credentials:CPNP-PC, RN
Other - Prefix:
Other - First Name:KIRA
Other - Middle Name:
Other - Last Name:SAWYERS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1141 OPAL CT
Mailing Address - Street 2:
Mailing Address - City:HAGERSTOWN
Mailing Address - State:MD
Mailing Address - Zip Code:21740-5976
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1141 OPAL CT
Practice Address - Street 2:
Practice Address - City:HAGERSTOWN
Practice Address - State:MD
Practice Address - Zip Code:21740-5976
Practice Address - Country:US
Practice Address - Phone:301-791-6666
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-07-13
Last Update Date:2023-07-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDAC005670363LP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics