Provider Demographics
NPI:1407899917
Name:HARTENBOWER, CHERYL ANN (CNM)
Entity Type:Individual
Prefix:MRS
First Name:CHERYL
Middle Name:ANN
Last Name:HARTENBOWER
Suffix:
Gender:F
Credentials:CNM
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Other - Credentials:
Mailing Address - Street 1:1692 CHATHAM PKWY
Mailing Address - Street 2:
Mailing Address - City:SAVANNAH
Mailing Address - State:GA
Mailing Address - Zip Code:31405-1350
Mailing Address - Country:US
Mailing Address - Phone:309-339-4748
Mailing Address - Fax:912-226-3268
Practice Address - Street 1:1692 CHATHAM PKWY
Practice Address - Street 2:
Practice Address - City:SAVANNAH
Practice Address - State:GA
Practice Address - Zip Code:31405-1350
Practice Address - Country:US
Practice Address - Phone:912-629-6262
Practice Address - Fax:912-226-3268
Is Sole Proprietor?:No
Enumeration Date:2006-06-13
Last Update Date:2023-02-23
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
GARN163679367A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367A00000XPhysician Assistants & Advanced Practice Nursing ProvidersAdvanced Practice Midwife
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA570921870CMedicaid