Individual
MS. BEVERLY GILLIAM HART
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, PHD
Contact information
Practice address
151 N EAGLE CREEK DR STE 220, LEXINGTON, KY 40509-1892
(859) 259-2635
(859) 254-7874
Mailing address
151 N EAGLE CREEK DR STE 220, LEXINGTON, KY 40509-1892
(859) 259-2635
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
1043709
KY
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
3005386
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
30615058
—
KY
05
—
31001118
—
KY
05
—
7100137110
—
KY
Enumeration date
02/09/2007
Last updated
01/11/2011
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