Provider Demographics
NPI:1780972570
Name:HART-FERNANDEZ, MEGAN RENEE (DNP, ARNP)
Entity type:Individual
Prefix:DR
First Name:MEGAN
Middle Name:RENEE
Last Name:HART-FERNANDEZ
Suffix:
Gender:F
Credentials:DNP, ARNP
Other - Prefix:
Other - First Name:MEGAN
Other - Middle Name:RENEE
Other - Last Name:HART
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1035 BLAIRS FERRY RD
Mailing Address - Street 2:
Mailing Address - City:MARION
Mailing Address - State:IA
Mailing Address - Zip Code:52302-3002
Mailing Address - Country:US
Mailing Address - Phone:319-552-4267
Mailing Address - Fax:319-253-3815
Practice Address - Street 1:1035 BLAIRS FERRY RD
Practice Address - Street 2:
Practice Address - City:MARION
Practice Address - State:IA
Practice Address - Zip Code:52302-3002
Practice Address - Country:US
Practice Address - Phone:319-552-4267
Practice Address - Fax:319-253-3815
Is Sole Proprietor?:Yes
Enumeration Date:2011-07-14
Last Update Date:2022-03-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA0000000363LF0000X
IAA112690363LF0000X, 363LN0005X, 363LP0808X, 363LX0106X, 363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No363LN0005XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerNeonatal, Critical Care
No363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
No363LX0106XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerOccupational Health