Provider Demographics
NPI:1619564036
Name:HARTWIG, KARLA ELAINE (OH)
Entity Type:Individual
Prefix:
First Name:KARLA
Middle Name:ELAINE
Last Name:HARTWIG
Suffix:
Gender:F
Credentials:OH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7006 GLENWOOD AVE
Mailing Address - Street 2:
Mailing Address - City:BOARDMAN
Mailing Address - State:OH
Mailing Address - Zip Code:44512-4848
Mailing Address - Country:US
Mailing Address - Phone:330-718-3548
Mailing Address - Fax:
Practice Address - Street 1:7006 GLENWOOD AVE
Practice Address - Street 2:
Practice Address - City:BOARDMAN
Practice Address - State:OH
Practice Address - Zip Code:44512-4848
Practice Address - Country:US
Practice Address - Phone:330-718-3548
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-12-31
Last Update Date:2020-12-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes376J00000XNursing Service Related ProvidersHomemaker