Gwendolyn Hart, REGISTERED NURSE

NPI #1396141578 in Brewerton, New York

Provider Information

NPI Number: 1396141578
Entity Type: Individual
Name: Gwendolyn Hart, REGISTERED NURSE
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Registered Nurse
Credential: REGISTERED NURSE
Enumeration Date: Nov 14, 2014
Last Updated: Nov 14, 2014

Practice Location

Address: 5434 LIBRARY ST
City: Brewerton
State: New York
ZIP Code: 13029-8707
Phone: (315) 668-5154

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Registered Nurse	163W00000X	Primary

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