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NPI Code Detail

MEDICARE: MEGHAN HART NP

MEDICARE: MEGHAN HART NP
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 Practitioner21425TN

General Provider Information

NPI Number : 1235684184
Entity Type Code : Individual
Provider Name (Legal Business Name) : MEGHAN HART NP
Provider Business Mailing Address
First Line : 5141 VIRGINIA WAY
Second Line : SUITE 390
City : BRENTWOOD
State : TN
Zip : 37027-7572
Country : US
Telephone Number : 423-237-6546
Fax Number : 423-237-6579
Provider Business Practice Location Address
First Line : 756 COSBY HWY
Second Line :
City : NEWPORT
State : TN
Zip : 37821-3455
Country : US
Telephone Number : 423-237-6546
Fax Number : 423-237-6579
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/22/2016
Last Update Date : 08/22/2016

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