Hart, Katelyn

Hart, Katelyn is an individual health care provider with primary practice located at 9320 State Road 54 , Trinity FL 34655-1808. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Gerontology. Physician Assistants & Advanced Practice Nursing Providers / Gerontology is her primary health care specialty. Hart, Katelyn can be contacted via phone (727) 493-2513.

Contact Information

Primary practice address
9320 State Road 54 Trinity FL 34655-1808
Phone: (727) 493-2513
Fax: (877) 917-2336
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X APRN9336853 Florida
Physician Assistants & Advanced Practice Nursing Providers / Gerontology 363LG0600X APRN9336853 Florida

Profile Details

NPI number 1528416393
LBN Legal business name Hart, Katelyn
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 2nd, 2016
Last updated Mar 15th, 2024 - about 9 months 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 1528416393 NPPES
Florida MEDICAID 018052400

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