Individual
LAURA ELLEN HART
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN FNP CPNP
Contact information
Practice address
12450 WAYZATA BLVD, SUITE 215 RIDGE PLAZA, MINNETONKA, MN 55305-1978
(952) 546-6866
(952) 512-0038
Mailing address
4436 VINCENT AVE S, MINNEAPOLIS, MN 55410-1526
(612) 920-0207
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R098456
MN
Other
Enumeration date
09/12/2005
Last updated
01/19/2009
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