Provider Demographics
NPI:1568274454
Name:HART, RENEA SHREE
Entity type:Individual
Prefix:
First Name:RENEA
Middle Name:SHREE
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 1:20315 LOWER GEORGES CREEK RD SW
Mailing Address - Street 2:
Mailing Address - City:WESTERNPORT
Mailing Address - State:MD
Mailing Address - Zip Code:21562-2303
Mailing Address - Country:US
Mailing Address - Phone:301-268-5821
Mailing Address - Fax:
Practice Address - Street 1:20315 LOWER GEORGES CREEK RD SW
Practice Address - Street 2:
Practice Address - City:WESTERNPORT
Practice Address - State:MD
Practice Address - Zip Code:21562-2303
Practice Address - Country:US
Practice Address - Phone:301-268-5821
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-01-27
Last Update Date:2025-01-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant