Individual
ANNIE CELESTE HART
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
3623 CROSSINGS DR STE 206, PRESCOTT, AZ 86305-7101
(866) 849-0692
Mailing address
610 W SERENO DR, GILBERT, AZ 85233-7251
(480) 776-4640
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
14004
GA
363A00000X
Physician Assistant
Primary
7188
AZ
Other
Enumeration date
09/13/2018
Last updated
05/11/2026
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