Provider Demographics
NPI:1336643824
Name:HARDIN, SARAH (FNP)
Entity Type:Individual
Prefix:MRS
First Name:SARAH
Middle Name:
Last Name:HARDIN
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4029 CANTERRA ARC
Mailing Address - Street 2:
Mailing Address - City:LAS CRUCES
Mailing Address - State:NM
Mailing Address - Zip Code:88011-1709
Mailing Address - Country:US
Mailing Address - Phone:574-214-9787
Mailing Address - Fax:
Practice Address - Street 1:4029 CANTERRA ARC
Practice Address - Street 2:
Practice Address - City:LAS CRUCES
Practice Address - State:NM
Practice Address - Zip Code:88011-1709
Practice Address - Country:US
Practice Address - Phone:574-214-9787
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-03-20
Last Update Date:2023-02-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN28208912A163W00000X
NM55702363LF0000X, 163W00000X, 363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163W00000XNursing Service ProvidersRegistered Nurse