Doctor Name: | RITA ANN HARGETT |
NPI Number: | 1154351864 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | FNP |
License Number: | R764315 |
Business Practice Address: | 900 Earl Frye Blvd Suite A Amory, MS - 388215507 |
Business Phone Number: | 6622569331 |
Business Fax Number: | 6622569335 |
Mailing Address: | 60309 Sipsey Detroit Rd, GREENWOOD SPRINGS |
State: | MS |
Postal Code: | 388489735 |
Phone Number: | 6623158383 |
Fax Number: | 6622569335 |
NPI Enumeration Date: | 07/05/2006 |
NPI Last Update Date: | 01/06/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | R764315 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MS |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |