Individual
MRS. BREANN MCILHENNY HART
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN, MSN, FNP-C
Contact information
Practice address
323 E HAWKINS PKWY STE A, LONGVIEW, TX 75605
(903) 758-2746
(903) 758-7127
Mailing address
323 E HAWKINS PKWY STE A, LONGVIEW, TX 75605-8162
(903) 758-2746
(903) 758-7127
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
AP129012
TX
363LF0000X
Family Nurse Practitioner
Primary
AP129012
TX
Other
Enumeration date
09/21/2015
Last updated
08/28/2019
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