Provider Demographics
NPI:1851093736
Name:HARDWELL, ANDRIAN (FNP)
Entity Type:Individual
Prefix:
First Name:ANDRIAN
Middle Name:
Last Name:HARDWELL
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 1:18507 AUTUMN HILLS DR
Mailing Address - Street 2:
Mailing Address - City:KATY
Mailing Address - State:TX
Mailing Address - Zip Code:77449-7201
Mailing Address - Country:US
Mailing Address - Phone:128-166-1929
Mailing Address - Fax:
Practice Address - Street 1:18507 AUTUMN HILLS DR
Practice Address - Street 2:
Practice Address - City:KATY
Practice Address - State:TX
Practice Address - Zip Code:77449-7201
Practice Address - Country:US
Practice Address - Phone:281-661-9293
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-03-21
Last Update Date:2023-06-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1116995363LF0000X
TXF03230329363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Single Specialty