Provider Demographics
NPI:1518231307
Name:HARTZLER, ANGELA LEA (CRNA)
Entity Type:Individual
Prefix:MRS
First Name:ANGELA
Middle Name:LEA
Last Name:HARTZLER
Suffix:
Gender:F
Credentials:CRNA
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Mailing Address - Street 1:1728 SAWTOOTH OAK TRL
Mailing Address - Street 2:
Mailing Address - City:KELLER
Mailing Address - State:TX
Mailing Address - Zip Code:76248-5647
Mailing Address - Country:US
Mailing Address - Phone:303-803-2117
Mailing Address - Fax:817-656-2847
Practice Address - Street 1:7011 PECAN ST
Practice Address - Street 2:
Practice Address - City:FRISCO
Practice Address - State:TX
Practice Address - Zip Code:75034-4240
Practice Address - Country:US
Practice Address - Phone:214-471-5975
Practice Address - Fax:214-407-8475
Is Sole Proprietor?:Yes
Enumeration Date:2012-02-27
Last Update Date:2024-01-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE79503367500000X
TX732464367500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered