Provider Demographics
NPI:1740769686
Name:HARDMAN, ANNA RACHELL (RN)
Entity Type:Individual
Prefix:MS
First Name:ANNA
Middle Name:RACHELL
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 1:5665 STATE HIGHWAY 322 N
Mailing Address - Street 2:
Mailing Address - City:HENDERSON
Mailing Address - State:TX
Mailing Address - Zip Code:75652-8334
Mailing Address - Country:US
Mailing Address - Phone:903-646-4249
Mailing Address - Fax:
Practice Address - Street 1:5665 STATE HIGHWAY 322 N
Practice Address - Street 2:
Practice Address - City:HENDERSON
Practice Address - State:TX
Practice Address - Zip Code:75652-8334
Practice Address - Country:US
Practice Address - Phone:903-646-4249
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-08-10
Last Update Date:2018-08-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX723775163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse