Individual
MRS. LATASHA RENEE HART
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PMHNP
Contact information
Practice address
2 WALNUT STREET, SUMMIT, NJ 07901
(888) 247-1400
Mailing address
214 OLIVE AVE, POMPTON LAKES, NJ 07442-1550
(954) 864-0794
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
26NJ01153300
NJ
Other
Enumeration date
11/10/2021
Last updated
06/01/2022
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