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Individual

MRS. ANN LEICHTLE HART

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PMP-NP,CNS, BC

Contact information

Practice address
867 WASHINGTON ST, RALEIGH, NC 27605-1255
(919) 833-5869
(919) 833-5859
Mailing address
867 WASHINGTON ST, RALEIGH, NC 27605-1255
(919) 833-5869
(919) 833-5859

Taxonomy

Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
NC

Other

Enumeration date
02/26/2007
Last updated
07/08/2007
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