Individual
BRENDA HARDING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
22717 S ELLSWORTH RD, SUITE B101, QUEEN CREEK, AZ 85142-6127
(480) 306-5650
(480) 986-4300
Mailing address
85 W COMBS RD, SUITE 101-196, SAN TAN VALLEY, AZ 85140-9105
(480) 306-5650
(480) 986-4300
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP4673
AZ
363LF0000X
Family Nurse Practitioner
TAP4673
AZ
364SF0001X
Family Health Clinical Nurse Specialist
RN159911
AZ
Other
Enumeration date
09/05/2012
Last updated
04/25/2016
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