Provider Demographics
NPI:1447094198
Name:HARTT FAMILY HEALTH NURSE PRACITIONER PLLC
Entity type:Organization
Organization Name:HARTT FAMILY HEALTH NURSE PRACITIONER PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:NURSE PRACTITIONER
Authorized Official - Prefix:MR
Authorized Official - First Name:BRYAN
Authorized Official - Middle Name:
Authorized Official - Last Name:HARTT
Authorized Official - Suffix:
Authorized Official - Credentials:FNP
Authorized Official - Phone:631-327-3278
Mailing Address - Street 1:168 BAYVIEW AVE APT 4
Mailing Address - Street 2:
Mailing Address - City:NORTHPORT
Mailing Address - State:NY
Mailing Address - Zip Code:11768-1564
Mailing Address - Country:US
Mailing Address - Phone:631-327-3278
Mailing Address - Fax:
Practice Address - Street 1:168 BAYVIEW AVE APT 4
Practice Address - Street 2:
Practice Address - City:NORTHPORT
Practice Address - State:NY
Practice Address - Zip Code:11768-1564
Practice Address - Country:US
Practice Address - Phone:631-327-3278
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-06-19
Last Update Date:2024-06-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Single Specialty