Individual
DESIREE HART
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-BC
Contact information
Practice address
913 W CANFIELD AVE, COEUR D ALENE, ID 83815-9764
(208) 957-7808
(949) 695-2456
Mailing address
913 W CANFIELD AVE, COEUR D ALENE, ID 83815-9764
(208) 957-7808
(949) 695-2456
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
61308806
WA
Other
Enumeration date
05/27/2022
Last updated
12/16/2024
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