Healthcare Provider Details

I. General information

NPI: 1982188223
Provider Name (Legal Business Name): BRANDI NICOLE HART FNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/22/2018
Last Update Date: 07/05/2026
Certification Date: 07/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

950 N LAKEVIEW DR
GREENSBURG IN
47240-3405
US

IV. Provider business mailing address

1050 CHINOE RD STE 350
LEXINGTON KY
40502-6571
US

V. Phone/Fax

Practice location:
  • Phone: 859-255-0075
  • Fax: 859-281-5150
Mailing address:
  • Phone: 859-255-0075
  • Fax: 859-281-5150

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number71008556A
License Number StateIN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: