Individual
MISS SALLY MARIE HARDIE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
140 ALCORN ST APT C, COOKEVILLE, TN 38506-2213
(651) 399-3968
Mailing address
140 ALCORN ST APT C, COOKEVILLE, TN 38506-2213
(651) 399-3968
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
Primary
195679
NC
Other
Enumeration date
02/17/2012
Last updated
02/17/2012
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