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General NPI Number Information
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NPI Number | 1316045560
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Entity Type | Individual
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Provider Name | CARLENA K HART APRN,BC
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Gender | Female
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Dates
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Enumeration Date | 09/20/2006
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | NORTHERN ARIZONA VA HCS 500 N HWY 89
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City | PRESCOTT
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State | AZ
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Zip | 86313
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Country | US
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Telephone | 928-445-4860
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Fax |
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Provider Business Mailing Address
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Address Line | 823 FLORA
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City | PRESCOTT
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State | AZ
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Zip | 86301
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Country | US
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Telephone | 928-445-4860
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number | 6973
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License Number State | MT
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Taxonomy #2
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | RN027329/APO1584
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License Number State | AZ
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