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NPI Code Detail

MEDICARE: DR. MARCIE KNOX HART DNP

MEDICARE: DR. MARCIE KNOX HART DNP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LF0000XFamily Nurse PractitionerAPRN-3404HI
2363LF0000XFamily Nurse PractitionerAPRN.CNP.023024OH
3363LF0000XFamily Nurse Practitioner322188AZ

General Provider Information

NPI Number : 1063860211
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. MARCIE KNOX HART DNP
Provider Business Mailing Address
First Line : 2010 N 75TH AVE
Second Line :
City : PHOENIX
State : AZ
Zip : 85035-3247
Country : US
Telephone Number : 623-245-6695
Fax Number : 623-245-3582
Provider Business Practice Location Address
First Line : 2010 N 75TH AVE
Second Line :
City : PHOENIX
State : AZ
Zip : 85035-3247
Country : US
Telephone Number : 623-245-6695
Fax Number : 623-245-3582
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/27/2016
Last Update Date : 07/21/2025

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