Individual provider · Type 1 NPI

Luke Hart

Licensed Practical Nurse · Hannibal, MO

NPI number 1053089540 Active

Practice location

4355 Paris Gravel Rd
Hannibal, MO 63401-6017

Call (573) 248-3811 Map

Fax (573) 248-3080

Mailing address

1601 Old South River Rd
St. Charles, MO 63303-4120

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse Primary 164W00000X2021032959 (MO)

Licensed Practical Nurse: An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

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About NPI 1053089540

Luke Hart's National Provider Identifier is 1053089540, issued on Aug 31, 2021. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Hannibal, MO. The record was last updated on Aug 31, 2021.