Provider Demographics
NPI:1225686371
Name:HARDMAN, GYAN LYNN (RN)
Entity Type:Individual
Prefix:MRS
First Name:GYAN
Middle Name:LYNN
Last Name:HARDMAN
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:31285 PAUL AVE
Mailing Address - Street 2:
Mailing Address - City:WORTHINGTON
Mailing Address - State:MN
Mailing Address - Zip Code:56187-6240
Mailing Address - Country:US
Mailing Address - Phone:507-360-3898
Mailing Address - Fax:507-360-3898
Practice Address - Street 1:31285 PAUL AVE
Practice Address - Street 2:
Practice Address - City:WORTHINGTON
Practice Address - State:MN
Practice Address - Zip Code:56187-6240
Practice Address - Country:US
Practice Address - Phone:507-360-3898
Practice Address - Fax:507-360-3898
Is Sole Proprietor?:No
Enumeration Date:2019-09-03
Last Update Date:2019-09-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN221313-8163WG0600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WG0600XNursing Service ProvidersRegistered NurseGerontology