Individual
LORI ANN HARDCASTLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
4300 SW 13TH ST, GAINESVILLE, FL 32608-4006
(352) 374-5600
Mailing address
5127 NW 62ND ST, GAINESVILLE, FL 32653-4073
(352) 278-5876
Taxonomy
Speciality
Code
Description
License number
State
163WP0809X
Adult Psychiatric/Mental Health Registered Nurse
Primary
1650952
FL
Other
Enumeration date
07/21/2015
Last updated
07/21/2015
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