Provider Demographics
NPI:1962093666
Name:HARTRANFT, AUTUMN ROSE
Entity type:Individual
Prefix:
First Name:AUTUMN
Middle Name:ROSE
Last Name:HARTRANFT
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:AUTUMN
Other - Middle Name:ROSE
Other - Last Name:SCHIEFER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:25 SCHAEFFER RD
Mailing Address - Street 2:
Mailing Address - City:BERNVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:19506-8930
Mailing Address - Country:US
Mailing Address - Phone:484-332-5179
Mailing Address - Fax:
Practice Address - Street 1:300 AMERICAN ST
Practice Address - Street 2:
Practice Address - City:CATASAUQUA
Practice Address - State:PA
Practice Address - Zip Code:18032-1800
Practice Address - Country:US
Practice Address - Phone:610-264-5471
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-01-27
Last Update Date:2021-11-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPI121476183700000X
PARP456005183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist
No183700000XPharmacy Service ProvidersPharmacy Technician