Provider Demographics
NPI:1851803134
Name:HARDEMAN, LINDA HOPE (LPN)
Entity Type:Individual
Prefix:MS
First Name:LINDA
Middle Name:HOPE
Last Name:HARDEMAN
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6760 GLORIA ST
Mailing Address - Street 2:
Mailing Address - City:ROMULUS
Mailing Address - State:MI
Mailing Address - Zip Code:48174-4323
Mailing Address - Country:US
Mailing Address - Phone:734-326-1848
Mailing Address - Fax:
Practice Address - Street 1:6760 GLORIA ST
Practice Address - Street 2:
Practice Address - City:ROMULUS
Practice Address - State:MI
Practice Address - Zip Code:48174-4323
Practice Address - Country:US
Practice Address - Phone:734-326-1848
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-10-26
Last Update Date:2017-10-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4703029707164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse