MEDICARE: NATALIE CORINNE HART CRNA

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
1	367500000X	Certified Registered Nurse Anesthetist	9181775	FL
2	367500000X	Certified Registered Nurse Anesthetist	0024172137	VA
3	367500000X	Certified Registered Nurse Anesthetist	APRN9181775	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1144428996
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	NATALIE CORINNE HART CRNA

Provider Business Mailing Address
First Line	:	5309 WATERVIEW DR
Second Line	:
City	:	NORTH PORT
State	:	FL
Zip	:	34291-8032
Country	:	US
Telephone Number	:	941-661-9283
Fax Number	:

Provider Business Practice Location Address
First Line	:	5309 WATERVIEW DR
Second Line	:
City	:	NORTH PORT
State	:	FL
Zip	:	34291-8032
Country	:	US
Telephone Number	:	941-639-0798
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/03/2007
Last Update Date	:	06/11/2022

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