Individual
MS. STEPHANIE ANN HART
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
1641 E POLSTON AVE STE 102, POST FALLS, ID 83854-2668
(208) 755-2804
(208) 765-0277
Mailing address
3815 N SCHREIBER WAY STE 101, COEUR D ALENE, ID 83815-8362
(208) 755-2804
(208) 765-0277
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
64956
ID
363LF0000X
Family Nurse Practitioner
64956
ID
363LF0000X
Family Nurse Practitioner
AP60158260
WA
Other
Enumeration date
06/17/2010
Last updated
08/25/2023
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