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Susan Hart, PMHNP
Pediatric Clinical Nurse Specialist in Bend, Oregon
NPI 1376863613

Susan Hart is a Pediatric Clinical Nurse Specialist based in Bend, OR and is specialized in Pediatrics. Susan Hart practices in Bend, OR and has the professional credentials of PMHNP. The NPI Number for Susan Hart is 1376863613 and holds a License No. 000029202N6 (Oregon).

The current practice location address for Susan Hart is 62168 Ob Riley Rd E2-16, Bend, OR and can be reached out via phone at 541-389-8714. You can also correspond with Susan Hart through the mailing address at 62168 OB RILEY RD E2-16, BEND, OR - 97701 (mailing address contact number: 541-389-8714).

Location: 62168 Ob Riley Rd E2-16, Bend, OR, 97701
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Provider Profile Details
NPI Number
1376863613
Provider Name
Susan Hart
Credential
PMHNP
Provider Entity Type
Individual
Gender
Female
Address
62168 Ob Riley Rd E2-16, Bend, OR, 97701
Phone Number
541-389-8714
Fax Number
Provider Enumeration Date
06/09/2010
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
000029202N6 01 OR OREGON LICENSE
institution
Provider Business Practice Location Address Details
Address
62168 Ob Riley Rd E2-16
City
State
Zip
97701
Phone Number
541-389-8714
Fax Number
person
Provider Business Mailing Address Details
Address
62168 Ob Riley Rd E2-16
City
State
Zip
97701
Phone Number
541-389-8714
Fax Number
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Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
000029202N2 (Oregon)
Definition
Definition to come...
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Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Psychiatric/Mental Health
Taxonomy
License No.
000029202N1 (Oregon)
Definition
Definition to come...
person
Provider's Taxonomy Details 3
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Clinical Nurse Specialist
Speciality
Pediatrics
Taxonomy
License No.
000029202N6 (Oregon)
Definition
Definition to come...
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