# ANN MARIE HART, FNP, PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1538310925
- **Authorized official:** ANN MARIE HART FNP-PC (PRESIDENT)
- **Authorized official phone:** (307) 460-8570

## Contact information

- **Practice address:** 255 N 30TH ST, IVINSON MEMORIAL HOSPITAL, SUITE 5B SPECIALTY CLINIC, LARAMIE, WY 82072-5140
- **Practice address phone:** (307) 460-8570
- **Mailing address:** 501 S 11TH ST, LARAMIE, WY 82070-4011
- **Mailing address phone:** (307) 460-8570

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LA2200X | Adult Health Nurse Practitioner | 17320.174 | WY | Yes |

## Other

- **Enumeration date:** 10/04/2008
- **Last updated:** 10/04/2008