Organization
ANN MARIE HART, FNP, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANN MARIE HART FNP-PC (PRESIDENT)
(307) 460-8570
Entity
Organization
Contact information
Practice address
255 N 30TH ST, IVINSON MEMORIAL HOSPITAL, SUITE 5B SPECIALTY CLINIC, LARAMIE, WY 82072-5140
(307) 460-8570
Mailing address
501 S 11TH ST, LARAMIE, WY 82070-4011
(307) 460-8570
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
17320.174
WY
Other
Enumeration date
10/04/2008
Last updated
10/04/2008
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