Individual
ANGELA MARIE HART
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
4401 WORNALL RD, KANSAS CITY, MO 64111-3220
(816) 932-7940
(816) 932-7957
Mailing address
PO BOX 504407, SAINT LOUIS, MO 63150-4407
(816) 932-7940
(816) 932-7957
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
2004031023
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2004031023
MO LICENSE
MO
05
—
2982607
—
OH
01
—
P00856983
MEDICARE RAILROAD
OH
Enumeration date
04/28/2009
Last updated
01/06/2014
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