Provider Demographics
NPI:1891808721
Name:HART, LADONNA KAY (APRN)
Entity Type:Individual
Prefix:
First Name:LADONNA
Middle Name:KAY
Last Name:HART
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8055 O ST STE 200
Mailing Address - Street 2:
Mailing Address - City:LINCOLN
Mailing Address - State:NE
Mailing Address - Zip Code:68510-2565
Mailing Address - Country:US
Mailing Address - Phone:402-488-5972
Mailing Address - Fax:402-488-5974
Practice Address - Street 1:8055 O ST STE 200
Practice Address - Street 2:
Practice Address - City:LINCOLN
Practice Address - State:NE
Practice Address - Zip Code:68510-2565
Practice Address - Country:US
Practice Address - Phone:402-488-5972
Practice Address - Fax:402-488-5974
Is Sole Proprietor?:No
Enumeration Date:2006-08-16
Last Update Date:2019-04-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE110272363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
NE47-0824058-13Medicaid
NEP00366313OtherMEDICARE TRAVELERS
NE280676Medicare PIN