Individual
LISA HARDWICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1963 E PRATER WAY STE 101, SPARKS, NV 89434-8938
(775) 430-8550
Mailing address
1963 E PRATER WAY STE 101, SPARKS, NV 89434-8938
(775) 430-8550
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
46-5134866
—
NV
Enumeration date
05/04/2018
Last updated
05/04/2018
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