Individual
ANDREA LEA HARDIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDMS RT RVT
Contact information
Practice address
2201 N BROADWELL AVE, GRAND ISLAND, NE 68803-2153
(308) 382-3660
Mailing address
1710 BRIDLE LN, GRAND ISLAND, NE 68803-2251
(308) 641-0434
Taxonomy
Speciality
Code
Description
License number
State
2085U0001X
Diagnostic Ultrasound Physician
Primary
147700
NE
247100000X
Radiologic Technologist
—
—
2471V0105X
Vascular Sonography Radiologic Technologist
147700
—
Other
Enumeration date
09/23/2017
Last updated
09/23/2017
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