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General NPI Number Information
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NPI Number | 1689672388
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Entity Type | Individual
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Provider Name | NINETTE HART MD
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Gender | Female
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Dates
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Enumeration Date | 07/07/2005
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Last Update Date | 11/20/2007
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Provider Practice Location Address
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Address Line | 1190 WAIANUENUE AVE
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City | HILO
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State | HI
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Zip | 96720-2020
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Country | US
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Telephone | 808-974-4700
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 1840
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City | KAILUA KONA
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State | HI
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Zip | 96745-1840
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Country | US
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Telephone | 808-325-6760
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Fax | 808-443-0159
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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 | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | MD7064
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License Number State | HI
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