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Individual

NICOLE DOLORES HARDER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
613 N 2ND ST, LAWRENCE, KS 66044-1407
(857) 842-7026
Mailing address
21922 W 51ST PL, SHAWNEE, KS 66226-2646
(660) 924-1889

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
14-150699-022
KS
367500000X
Certified Registered Nurse Anesthetist
Primary
43-558281-022
KS

Other

Enumeration date
03/15/2025
Last updated
06/23/2025
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