Most Relevant Information
Provider Data
| NPI Number: | 1003342098 |
| Provider Name: | SUSAN DANIELLE HARTL |
| Entity Type: | Individual |
| Taxonomy Code: | 367500000X |
| Specialty: | Nurse Anesthetist, Certified Registered |
| License Number: | 9295469 |
Most Important Dates
| Enumeration Date: | 05/11/2017 |
| Last Updated: | 10/28/2017 |
Provider Practice Location
1901 ULMERTON RD
SUITE 450
CLEARWATER
FL
337622300
Practice Location Phone/Fax
| Phone: | 7272108191 |
| Fax: |
Provider Mailing Location
17408 GULF BLVD #404
REDINGTON SHORES
FL
33708
Provider Mailing Phone/Fax
| Phone: | 7275152161 |
| Fax: |