NPI | 1811098908 |
---|---|
Former Name | FAY LYNN HARDISON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: TN APN6745) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TN 6745) |
363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: VA 0024167103) | |
Enumeration Date | 2006-09-25 |
Last Update Date | 2014-05-28 |