Provider Demographics
NPI:1285949073
Name:HARTMANN, CHERI LYNN (APRN)
Entity type:Individual
Prefix:
First Name:CHERI
Middle Name:LYNN
Last Name:HARTMANN
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:CHERI
Other - Middle Name:LYNN
Other - Last Name:LARESE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:FNP-BC
Mailing Address - Street 1:2179 SE OCEAN BLVD
Mailing Address - Street 2:
Mailing Address - City:STUART
Mailing Address - State:FL
Mailing Address - Zip Code:34996-3305
Mailing Address - Country:US
Mailing Address - Phone:772-301-6475
Mailing Address - Fax:
Practice Address - Street 1:2179 SE OCEAN BLVD
Practice Address - Street 2:
Practice Address - City:STUART
Practice Address - State:FL
Practice Address - Zip Code:34996-3305
Practice Address - Country:US
Practice Address - Phone:772-301-6475
Practice Address - Fax:772-301-6480
Is Sole Proprietor?:Yes
Enumeration Date:2010-08-17
Last Update Date:2021-03-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLARNP3068002363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily