Individual
CHEYENNE LORIN HARDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
141 LILLY RD NE, OLYMPIA, WA 98506-5028
(360) 413-8880
(360) 810-3697
Mailing address
PO BOX 749495, ATLANTA, GA 30374-9495
(239) 432-8331
(813) 321-1296
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA61412070
WA
363AM0700X
Medical Physician Assistant
PENDING
NE
Other
Enumeration date
06/06/2022
Last updated
05/26/2023
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