Individual
MR. MICHAEL ANDREW HART
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
FNP-C
Contact information
Practice address
9750 W PEORIA AVE, PEORIA, AZ 85345-6108
(623) 281-1620
(623) 281-1622
Mailing address
5392 W TARO LN, GLENDALE, AZ 85308-4964
(623) 262-1010
(623) 242-9264
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
RN109444
AZ
163WE0003X
Emergency Registered Nurse
RN109444
AZ
261QP2300X
Primary Care Clinic/Center
AP11665
AZ
363LF0000X
Family Nurse Practitioner
Primary
AP11665
AZ
Other
Enumeration date
02/21/2006
Last updated
08/02/2025
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