Provider Demographics
NPI:1861225021
Name:HART, ARNISE ANGELIQUE
Entity type:Individual
Prefix:MS
First Name:ARNISE
Middle Name:ANGELIQUE
Last Name:HART
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7611 WELLESLEY DR
Mailing Address - Street 2:
Mailing Address - City:COLLEGE PARK
Mailing Address - State:MD
Mailing Address - Zip Code:20740-3052
Mailing Address - Country:US
Mailing Address - Phone:240-709-5345
Mailing Address - Fax:
Practice Address - Street 1:70 I ST SE # E404
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20003-4800
Practice Address - Country:US
Practice Address - Phone:240-709-5345
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-08-22
Last Update Date:2024-09-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator