Hart To Heart Medical
Nurse Practitioner, Family in Goodlettsville, TN. Organization (NPI-2).
NPI number1992331052
StatusActive
Last updated in NPPESMar 19, 2020
Details
- NPI
- 1992331052
- Entity type
- Organization (NPI-2)
- Legal business name
- Hart To Heart Medical
- Organization subpart
- No
- Enumeration date
- Mar 19, 2020
- Certification date
- Mar 19, 2020
- Last updated
- Mar 19, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LF0000X | Nurse Practitioner, Family | – | – | Yes |
Other names
- Hart Medical Clinic (Former Legal Business Name)
- Hart Medical Clinic (Doing Business As)
Practice location
105b Memorial DrGoodlettsville, TN 37072-1525
Phone 615-766-8207 · Fax 430-224-0027
Mailing address
Po Box 168Goodlettsville, TN 37070-0168
Phone 615-766-8207 · Fax 430-224-0027
Authorized official
Wanda Hart
Owner/ Nurse Practitioner
6153107337
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