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NPI Code Detail

MEDICARE: DR. KATHRYN A. HART DNP, APRN

MEDICARE: DR. KATHRYN A. HART DNP, APRN
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
1163W00000XRegistered NurseRN.399143OH
2163W00000XRegistered NurseRN9413497FL
3363LP0808XPsychiatric/Mental Health Nurse PractitionerAPRN.CNP.023984OH
4363LP0808XPsychiatric/Mental Health Nurse PractitionerAPRN9413497FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1063898906
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. KATHRYN A. HART DNP, APRN
Provider Business Mailing Address
First Line : 1575 PINE RIDGE RD STE 16
Second Line :
City : NAPLES
State : FL
Zip : 34109-2110
Country : US
Telephone Number : 239-734-3481
Fax Number : 239-236-7982
Provider Business Practice Location Address
First Line : 1575 PINE RIDGE RD STE 16
Second Line :
City : NAPLES
State : FL
Zip : 34109-2110
Country : US
Telephone Number : 239-734-3481
Fax Number : 239-236-7982
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/03/2015
Last Update Date : 10/01/2019

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