Individual
MRS. SUZANNE M. HARDEMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN-BC
Contact information
Practice address
15 MEDICAL PARK, SUITE 141, COLUMBIA, SC 29203-8903
(803) 434-4300
(803) 434-4351
Mailing address
15 MEDICAL PARK, SUITE 300, COLUMBIA, SC 29203-8903
(803) 434-4300
(803) 434-4351
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
4747
SC
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
3152
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
NP1361
—
SC
Enumeration date
11/11/2006
Last updated
06/05/2009
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