Provider Demographics
NPI:1841757119
Name:ANN HART PMH NP PLLC
Entity Type:Organization
Organization Name:ANN HART PMH NP PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ANN
Authorized Official - Middle Name:LEICHTLE
Authorized Official - Last Name:HART
Authorized Official - Suffix:
Authorized Official - Credentials:PMH NP
Authorized Official - Phone:919-274-8232
Mailing Address - Street 1:1209 CEDAR CREEK DR
Mailing Address - Street 2:
Mailing Address - City:CARY
Mailing Address - State:NC
Mailing Address - Zip Code:27513-4948
Mailing Address - Country:US
Mailing Address - Phone:919-274-8232
Mailing Address - Fax:919-882-1512
Practice Address - Street 1:867 WASHINGTON ST
Practice Address - Street 2:
Practice Address - City:RALEIGH
Practice Address - State:NC
Practice Address - Zip Code:27605-1255
Practice Address - Country:US
Practice Address - Phone:919-833-5869
Practice Address - Fax:919-833-5859
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-02-22
Last Update Date:2019-02-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental HealthGroup - Single Specialty