Individual
MRS. DIANE HART
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CDE
Contact information
Practice address
1005 W GREEN ST, HASTINGS, MI 49058-1712
(269) 945-0922
(269) 945-4511
Mailing address
1005 W GREEN ST, HASTINGS, MI 49058-1712
(269) 945-0922
(269) 945-4511
Taxonomy
Speciality
Code
Description
License number
State
163WD0400X
Diabetes Educator Registered Nurse
Primary
21220202
MI
Other
Enumeration date
08/21/2014
Last updated
08/21/2014
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