Provider Demographics
NPI:1508297508
Name:HARDWICK, CATHY DIANA (CRNP)
Entity Type:Individual
Prefix:
First Name:CATHY
Middle Name:DIANA
Last Name:HARDWICK
Suffix:
Gender:F
Credentials:CRNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10999 RED RUN BLVD
Mailing Address - Street 2:BOX 205M339
Mailing Address - City:OWINGS MILLS
Mailing Address - State:MD
Mailing Address - Zip Code:21117-3261
Mailing Address - Country:US
Mailing Address - Phone:410-908-8273
Mailing Address - Fax:
Practice Address - Street 1:4816 CLAIRELEE DR
Practice Address - Street 2:
Practice Address - City:OWINGS MILLS
Practice Address - State:MD
Practice Address - Zip Code:21117-4765
Practice Address - Country:US
Practice Address - Phone:410-908-8273
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-12-02
Last Update Date:2020-11-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDRN187580363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily