Provider Demographics
NPI:1952532228
Name:HARTMAN, IRMA TRINIDAD (ACNP-BC, CCNS)
Entity Type:Individual
Prefix:
First Name:IRMA
Middle Name:TRINIDAD
Last Name:HARTMAN
Suffix:
Gender:F
Credentials:ACNP-BC, CCNS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9501 FARRELL RD
Mailing Address - Street 2:EMERGENCY DEPARTMENT
Mailing Address - City:FORT BELVOIR
Mailing Address - State:VA
Mailing Address - Zip Code:22060-5901
Mailing Address - Country:US
Mailing Address - Phone:703-805-0419
Mailing Address - Fax:703-805-9208
Practice Address - Street 1:9501 FARRELL RD
Practice Address - Street 2:EMERGENCY DEPARTMENT
Practice Address - City:FORT BELVOIR
Practice Address - State:VA
Practice Address - Zip Code:22060-5901
Practice Address - Country:US
Practice Address - Phone:703-805-0419
Practice Address - Fax:703-805-9208
Is Sole Proprietor?:No
Enumeration Date:2009-08-04
Last Update Date:2009-08-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA2008000960363LA2100X
VA0801853364SA2100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2100XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute Care
No364SA2100XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse SpecialistAcute Care