=====================================================
General NPI Number Information
=====================================================
NPI Number | 1700028644
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | NATALIE LYNN HART R.N.
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 03/24/2009
-----------------------------------------------------
Last Update Date | 03/24/2009
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 500 LINCOLN PARK BLVD SUITE 200
-----------------------------------------------------
City | KETTERING
-----------------------------------------------------
State | OH
-----------------------------------------------------
Zip | 45429-3492
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 937-293-5567
-----------------------------------------------------
Fax | 937-293-5568
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 500 LINCOLN PARK BLVD SUITE 200
-----------------------------------------------------
City | KETTERING
-----------------------------------------------------
State | OH
-----------------------------------------------------
Zip | 45429-3492
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 937-293-5567
-----------------------------------------------------
Fax | 937-293-5568
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 163WM0705X
-----------------------------------------------------
Taxonomy Name | Medical-Surgical Registered Nurse
-----------------------------------------------------
License Number | 311328
-----------------------------------------------------
License Number State | OH
-----------------------------------------------------