MEDICARE: EMILY D HART FNP

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
1	363LP0808X	Psychiatric/Mental Health Nurse Practitioner	71010832A	IN

General Provider Information

NPI Number	:	1578153094
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	EMILY D HART FNP

Provider Business Mailing Address
First Line	:	1100 REID PKWY
Second Line	:
City	:	RICHMOND
State	:	IN
Zip	:	47374-1157
Country	:	US
Telephone Number	:	765-983-3000
Fax Number	:

Provider Business Practice Location Address
First Line	:	1050 REID PKWY STE 220
Second Line	:
City	:	RICHMOND
State	:	IN
Zip	:	47374-1160
Country	:	US
Telephone Number	:	765-962-9541
Fax Number	:	765-966-5952

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/19/2021
Last Update Date	:	12/10/2025

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