Provider Demographics
NPI:1508967209
Name:HARTL, DAWN (RNFA)
Entity Type:Individual
Prefix:
First Name:DAWN
Middle Name:
Last Name:HARTL
Suffix:
Gender:F
Credentials:RNFA
Other - Prefix:
Other - First Name:DAWN
Other - Middle Name:
Other - Last Name:BURMEISTER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:914 S 8TH ST
Mailing Address - Street 2:600 HFA BUILDING
Mailing Address - City:MINNEAPOLIS
Mailing Address - State:MN
Mailing Address - Zip Code:55404-1210
Mailing Address - Country:US
Mailing Address - Phone:612-672-2992
Mailing Address - Fax:612-672-2970
Practice Address - Street 1:606 24TH AVE S
Practice Address - Street 2:#200
Practice Address - City:MINNEAPOLIS
Practice Address - State:MN
Practice Address - Zip Code:55454-1455
Practice Address - Country:US
Practice Address - Phone:612-672-2992
Practice Address - Fax:612-672-2970
Is Sole Proprietor?:No
Enumeration Date:2006-09-26
Last Update Date:2007-08-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MNR 134823 7163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse