Individual
ANN MARIE HART
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
501 S 11TH ST, LARAMIE, WY 82070-4011
(307) 460-8570
Mailing address
501 S 11TH ST, LARAMIE, WY 82070-4011
(307) 745-4460
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
17320.174
WY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
112888400
—
WY
Enumeration date
11/15/2006
Last updated
10/04/2008
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