Individual
MS. MARCELLA L. HARDY-PETERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
742 W HIGHLAND AVE, SAN BERNARDINO, CA 92405-3839
(909) 881-7320
(909) 881-7330
Mailing address
742 W HIGHLAND AVE, SAN BERNARDINO, CA 92405-3839
(909) 881-7320
(909) 881-7330
Taxonomy
Speciality
Code
Description
License number
State
363LX0001X
Obstetrics & Gynecology Nurse Practitioner
Primary
5835
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
ZZZ35980Z
—
CA
Enumeration date
06/06/2006
Last updated
02/14/2022
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