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Individual

DEBRA ANN HARDY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
RN,MSN,APN

Contact information

Practice address
1171 TREASURE LN, WEST DEPTFORD, NJ 08093-1964
(609) 221-4884
Mailing address
2007 N BLACK HORSE PIKE, WILLIAMSTOWN, NJ 08094-9120
(856) 740-4888
(856) 740-0559

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
26NO11463500
NJ
363LA2200X
Adult Health Nurse Practitioner
Primary
26NJ00630200
NJ
363LA2200X
Adult Health Nurse Practitioner
26NO11463500
NJ

Other

Enumeration date
10/14/2015
Last updated
11/20/2018
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