MEDICARE: LADONNA KAY HART 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
1	363LF0000X	Family Nurse Practitioner	110272	NE

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	P00366313	OTHER	NE	MEDICARE TRAVELERS

Other Identifiers

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

General Provider Information

NPI Number	:	1891808721
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LADONNA KAY HART APRN

Provider Business Mailing Address
First Line	:	8055 O ST STE 200
Second Line	:
City	:	LINCOLN
State	:	NE
Zip	:	68510-2565
Country	:	US
Telephone Number	:	402-488-5972
Fax Number	:	402-488-5974

Provider Business Practice Location Address
First Line	:	8055 O ST STE 200
Second Line	:
City	:	LINCOLN
State	:	NE
Zip	:	68510-2565
Country	:	US
Telephone Number	:	402-488-5972
Fax Number	:	402-488-5974

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

Provider Enumeration Date	:	08/16/2006
Last Update Date	:	04/15/2019

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