Hart, Brenda L.

Hart, Brenda L. is an individual health care provider with primary practice located at 311 N Clyde Morris Blvd , Daytona Beach FL 32114-2781. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Hart, Brenda L. can be contacted via phone (386) 425-4267.

Contact Information

Primary practice address
311 N Clyde Morris Blvd Daytona Beach FL 32114-2781
Phone: (386) 425-4267
Fax: (386) 425-4879
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X 2963932 Florida
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 2963932 Florida
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X AC002610 Maryland
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X APRN2963932 Florida

Profile Details

NPI number 1114472834
LBN Legal business name Hart, Brenda L.
Credentials FNP-C, CRNP, CWON
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 23rd, 2016
Last updated May 12th, 2022 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1114472834 NPPES
Maryland Other 805100 MEDICARE

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