| NPI | 1780972570 |
|---|---|
| Former Name | MEGAN RENEE HART |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IA A112690) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: IA 0000000) |
| 363LF0000X Nurse Practitioner Family (Licence: IA A112690) | |
| 363LN0005X Nurse Practitioner Neonatal, Critical Care (Licence: IA A112690) | |
| 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: IA A112690) | |
| 363LX0106X Nurse Practitioner Occupational Health (Licence: IA A112690) | |
| Enumeration Date | 2011-07-14 |
| Last Update Date | 2022-03-16 |