Provider Demographics
NPI:1144428996
Name:HART, NATALIE CORINNE (CRNA)
Entity Type:Individual
Prefix:
First Name:NATALIE
Middle Name:CORINNE
Last Name:HART
Suffix:
Gender:F
Credentials:CRNA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5309 WATERVIEW DR
Mailing Address - Street 2:
Mailing Address - City:NORTH PORT
Mailing Address - State:FL
Mailing Address - Zip Code:34291-8032
Mailing Address - Country:US
Mailing Address - Phone:941-661-9283
Mailing Address - Fax:
Practice Address - Street 1:5309 WATERVIEW DR
Practice Address - Street 2:
Practice Address - City:NORTH PORT
Practice Address - State:FL
Practice Address - Zip Code:34291-8032
Practice Address - Country:US
Practice Address - Phone:941-639-0798
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-07-03
Last Update Date:2022-06-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL9181775367500000X
VA0024172137367500000X
FLAPRN9181775367500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered