Individual
MARY HARDWICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
6780 MAYFIELD RD, MAYFIELD HEIGHTS, OH 44124-2203
(440) 312-4500
Mailing address
12629 HOVEY DR, CHESTERLAND, OH 44026-2623
(330) 979-6756
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
454214
OH
364SP0808X
Psychiatric/Mental Health Clinical Nurse Specialist
454214
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
454214
RN LICENSE NUMBER
—
Enumeration date
08/31/2021
Last updated
08/31/2021
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