Individual
CASEY HART BAER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NURSE PRACTITIONER
Contact information
Practice address
110 S 17TH ST, HARRISBURG, PA 17104-1123
(717) 232-9971
Mailing address
110 S 17TH ST, HARRISBURG, PA 17104-1123
(717) 232-9971
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
SP025140
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1040006100002
—
PA
05
—
1040006100003
—
PA
Enumeration date
01/07/2022
Last updated
06/12/2024
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