Individual
ANTONELLA HART
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
14500 HALL RD, STERLING HEIGHTS, MI 48313-1229
(586) 566-4281
Mailing address
1 FORD PL STE 3A, DETROIT, MI 48202-3450
(313) 874-4806
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
4704253365
MI
363LP2300X
Primary Care Nurse Practitioner
4704253365
MI
Other
Enumeration date
11/01/2013
Last updated
01/05/2026
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