Individual
EILEEN A. HART
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1126 S MAIN ST, DAYTON, OH 45409-2687
(937) 223-3053
(937) 853-0166
Mailing address
1126 S MAIN ST, DAYTON, OH 45409-2687
(937) 223-3053
(937) 853-0166
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
RN 255687
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2315453
—
OH
Enumeration date
03/17/2006
Last updated
01/08/2008
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