Individual
HEIDI MARIE HARDY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
864 HENRY ST, MARION, OH 43302-7135
(740) 802-3293
Mailing address
864 HENRY ST, MARION, OH 43302-7135
(740) 802-3293
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN129242-M-IV
OH
Other
Enumeration date
03/08/2011
Last updated
03/08/2011
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