Provider Demographics
NPI:1861379646
Name:HART, ELLYN ROBINETTE (RN)
Entity type:Individual
Prefix:
First Name:ELLYN
Middle Name:ROBINETTE
Last Name:HART
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1874 ASCOTT RD
Mailing Address - Street 2:
Mailing Address - City:NORTH PALM BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33408-2205
Mailing Address - Country:US
Mailing Address - Phone:704-662-5545
Mailing Address - Fax:
Practice Address - Street 1:1874 ASCOTT RD
Practice Address - Street 2:
Practice Address - City:NORTH PALM BEACH
Practice Address - State:FL
Practice Address - Zip Code:33408-2205
Practice Address - Country:US
Practice Address - Phone:704-662-5545
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-08-21
Last Update Date:2025-08-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL9439365163WC0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WC0400XNursing Service ProvidersRegistered NurseCase Management