1831544774 NPI number — APRIL NOELLE HART RN, MSN, FNP-BC, CNE

Table of content: APRIL NOELLE HART RN, MSN, FNP-BC, CNE (NPI 1831544774)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1831544774 NPI number — APRIL NOELLE HART RN, MSN, FNP-BC, CNE

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
HART
Provider First Name:
APRIL
Provider Middle Name:
NOELLE
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
RN, MSN, FNP-BC, CNE
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1831544774
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
04/28/2016
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
2606 PEDDLERS VILLAGE RD.
Provider Second Line Business Mailing Address:
SUITE 215
Provider Business Mailing Address City Name:
GOSHEN
Provider Business Mailing Address State Name:
IN
Provider Business Mailing Address Postal Code:
46526
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
574-534-1135
Provider Business Mailing Address Fax Number:
574-534-1167

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
2606 PEDDLERS VILLAGE RD.
Provider Second Line Business Practice Location Address:
SUITE 215
Provider Business Practice Location Address City Name:
GOSHEN
Provider Business Practice Location Address State Name:
IN
Provider Business Practice Location Address Postal Code:
46526
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
574-534-1135
Provider Business Practice Location Address Fax Number:
574-534-1167
Provider Enumeration Date:
04/28/2016

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 163W00000X , with the licence number:  28106951A , registered in the state of IN ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 363LF0000X , with the licence number: 28106951A , registered in the state of IN ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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