Provider Demographics
NPI:1588213771
Name:HART, WENDY JOANNE (DNP, AGACNP-BC, APRN)
Entity Type:Individual
Prefix:
First Name:WENDY
Middle Name:JOANNE
Last Name:HART
Suffix:
Gender:F
Credentials:DNP, AGACNP-BC, APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:601 W MAPLE AVE STE 703
Mailing Address - Street 2:
Mailing Address - City:SPRINGDALE
Mailing Address - State:AR
Mailing Address - Zip Code:72764-5378
Mailing Address - Country:US
Mailing Address - Phone:479-750-2203
Mailing Address - Fax:
Practice Address - Street 1:601 W MAPLE AVE STE 703
Practice Address - Street 2:
Practice Address - City:SPRINGDALE
Practice Address - State:AR
Practice Address - Zip Code:72764-5378
Practice Address - Country:US
Practice Address - Phone:479-750-2203
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-09-10
Last Update Date:2020-10-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AR122119363LA2100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2100XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute Care