Provider Demographics
NPI:1275306672
Name:HARTIG, KRISTIE LEIGH (MSN, APRN, FNP-C)
Entity Type:Individual
Prefix:MS
First Name:KRISTIE
Middle Name:LEIGH
Last Name:HARTIG
Suffix:
Gender:F
Credentials:MSN, APRN, FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:C/O MIDLAND PACE PROGRAM
Mailing Address - Street 2:200 SW FRAZIER CIRCLE
Mailing Address - City:TOPEKA
Mailing Address - State:KS
Mailing Address - Zip Code:66606
Mailing Address - Country:US
Mailing Address - Phone:800-726-7450
Mailing Address - Fax:
Practice Address - Street 1:2134 SW WESTPORT DR
Practice Address - Street 2:
Practice Address - City:TOPEKA
Practice Address - State:KS
Practice Address - Zip Code:66614-1932
Practice Address - Country:US
Practice Address - Phone:800-726-7450
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-11-07
Last Update Date:2024-03-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS133415163W00000X
KSTMP-162117363LF0000X
KS82783363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163W00000XNursing Service ProvidersRegistered Nurse