Provider Demographics
NPI:1891389839
Name:HANGARTNER, ERICH (APRN, FNP-C)
Entity Type:Individual
Prefix:
First Name:ERICH
Middle Name:
Last Name:HANGARTNER
Suffix:
Gender:M
Credentials: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 1:1612 DAWKINS RD
Mailing Address - Street 2:ATTN: MEDICAL
Mailing Address - City:LA GRANGE
Mailing Address - State:KY
Mailing Address - Zip Code:40031-8729
Mailing Address - Country:US
Mailing Address - Phone:502-222-0365
Mailing Address - Fax:
Practice Address - Street 1:1612 DAWKINS RD
Practice Address - Street 2:ATTN: MEDICAL
Practice Address - City:LA GRANGE
Practice Address - State:KY
Practice Address - Zip Code:40031-8729
Practice Address - Country:US
Practice Address - Phone:502-222-0365
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-02-20
Last Update Date:2021-02-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY3015182363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner