Healthcare Provider Details

I. General information

NPI: 1619633385
Provider Name (Legal Business Name): LAUREN BETHANY HART DNP APRN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: LAUREN BETHANY EASTER

II. Dates (important events)

Enumeration Date: 11/16/2021
Last Update Date: 08/07/2025
Certification Date: 08/07/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1455 HIGDON FERRY RD STE B
HOT SPRINGS AR
71913-6456
US

IV. Provider business mailing address

PO BOX 749495
ATLANTA GA
30374-9495
US

V. Phone/Fax

Practice location:
  • Phone: 501-623-2731
  • Fax: 501-623-1660
Mailing address:
  • Phone: 855-963-2100
  • Fax: 813-321-1296

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LA2200X
TaxonomyAdult Health Nurse Practitioner
License Number216941
License Number StateAR
# 2
Primary TaxonomyN
Taxonomy Code363LP2300X
TaxonomyPrimary Care Nurse Practitioner
License Number216941
License Number StateAR
# 3
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number216941
License Number StateAR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: