Individual
GLENNA J HARDY
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
3610 S 1000 W, WEST VALLEY CITY, UT 84119-7829
(801) 288-8400
Mailing address
335 N 100 W, SPANISH FORK, UT 84660-1728
(801) 362-9451
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
2197893102
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2197893102
REGISTERED NURSE
UT
Enumeration date
02/01/2006
Last updated
07/08/2007
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