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NPI Code Detail

MEDICARE: EILEEN CAMPBELL HART FNP-BC

MEDICARE:   EILEEN CAMPBELL HART  FNP-BC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LF0000XFamily Nurse Practitioner17151TN

General Provider Information

NPI Number : 1033455761
Entity Type Code : Individual
Provider Name (Legal Business Name) : EILEEN CAMPBELL HART FNP-BC
Provider Business Mailing Address
First Line : 2620 ELM HILL PIKE
Second Line :
City : NASHVILLE
State : TN
Zip : 37214-3108
Country : US
Telephone Number : 615-425-4200
Fax Number : 615-425-4268
Provider Business Practice Location Address
First Line : 3054 COLUMBIA AVE
Second Line :
City : FRANKLIN
State : TN
Zip : 37064-7424
Country : US
Telephone Number : 615-550-0091
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/28/2012
Last Update Date : 07/08/2013

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