Provider Demographics
NPI:1174562029
Name:HART-HYNDMAN, GRETA (NP)
Entity type:Individual
Prefix:DR
First Name:GRETA
Middle Name:
Last Name:HART-HYNDMAN
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 10389
Mailing Address - Street 2:
Mailing Address - City:ST THOMAS
Mailing Address - State:VI
Mailing Address - Zip Code:00801-3389
Mailing Address - Country:US
Mailing Address - Phone:340-774-6674
Mailing Address - Fax:340-774-2069
Practice Address - Street 1:9800 BUCCANEER MALL
Practice Address - Street 2:SUITE #8
Practice Address - City:ST THOMAS
Practice Address - State:VI
Practice Address - Zip Code:00802-2406
Practice Address - Country:US
Practice Address - Phone:340-774-6674
Practice Address - Fax:340-774-2069
Is Sole Proprietor?:No
Enumeration Date:2006-06-06
Last Update Date:2013-06-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCRN1002256363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health