Provider Demographics
NPI:1225455959
Name:HARTWIG, JANET M (LPN)
Entity Type:Individual
Prefix:MS
First Name:JANET
Middle Name:M
Last Name:HARTWIG
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:MISS
Other - First Name:JANET
Other - Middle Name:M
Other - Last Name:HUGHES
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LPN
Mailing Address - Street 1:10841 SWAN CREEK ROAD
Mailing Address - Street 2:
Mailing Address - City:CARLETON
Mailing Address - State:MI
Mailing Address - Zip Code:48117
Mailing Address - Country:US
Mailing Address - Phone:734-497-8161
Mailing Address - Fax:
Practice Address - Street 1:41308 CROSSBOW CIRCLE
Practice Address - Street 2:
Practice Address - City:CANTON
Practice Address - State:MI
Practice Address - Zip Code:48188
Practice Address - Country:US
Practice Address - Phone:734-497-8161
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-03-19
Last Update Date:2014-03-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4703035850164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse