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Individual

MARGARET C HART

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
2333 HIGHWAY 17, IBERIA, MO 65486
(573) 793-6900
(573) 793-6688
Mailing address
PO BOX 1500, OSAGE BEACH, MO 65065

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
086955
MO
363LF0000X
Family Nurse Practitioner
Primary
086955
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100028070A
OK
05
100301480A
KS
01
135570018
MEDICARE PTAN
MO
05
428676803
MO
01
P00780874
RAILROAD MEDICAID
MO
Enumeration date
06/27/2006
Last updated
02/04/2010
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