Provider Demographics
NPI:1013473610
Name:HART, CORSCHIKA HENRY (NP)
Entity Type:Individual
Prefix:
First Name:CORSCHIKA
Middle Name:HENRY
Last Name:HART
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1039 WOODVIEW DR
Mailing Address - Street 2:
Mailing Address - City:SLIDELL
Mailing Address - State:LA
Mailing Address - Zip Code:70461-1347
Mailing Address - Country:US
Mailing Address - Phone:504-723-8001
Mailing Address - Fax:
Practice Address - Street 1:1523 SAINT CHARLES AVE
Practice Address - Street 2:
Practice Address - City:NEW ORLEANS
Practice Address - State:LA
Practice Address - Zip Code:70130-4445
Practice Address - Country:US
Practice Address - Phone:504-374-1000
Practice Address - Fax:504-374-1350
Is Sole Proprietor?:No
Enumeration Date:2019-02-19
Last Update Date:2023-07-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA203887363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily