Individual
MICHELE MARY HART
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
7861 W KRISTAL WAY, GLENDALE, AZ 85308-6131
(623) 376-4510
(623) 376-4580
Mailing address
7861 W KRISTAL WAY, GLENDALE, AZ 85308-6131
(623) 376-4510
(623) 376-4580
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
RN097501
AZ
Other
Enumeration date
04/19/2007
Last updated
07/08/2007
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