Provider Demographics
NPI:1861633372
Name:HARDIN, SONYA RENAE (RN, PHD, NP-C)
Entity Type:Individual
Prefix:PROF
First Name:SONYA
Middle Name:RENAE
Last Name:HARDIN
Suffix:
Gender:F
Credentials:RN, PHD, NP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:750 HARTNESS RD STE E
Mailing Address - Street 2:
Mailing Address - City:STATESVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28677-3400
Mailing Address - Country:US
Mailing Address - Phone:704-924-7575
Mailing Address - Fax:704-924-7877
Practice Address - Street 1:750 HARTNESS RD STE E
Practice Address - Street 2:
Practice Address - City:STATESVILLE
Practice Address - State:NC
Practice Address - Zip Code:28677-3400
Practice Address - Country:US
Practice Address - Phone:704-924-7575
Practice Address - Fax:704-924-7877
Is Sole Proprietor?:No
Enumeration Date:2009-03-12
Last Update Date:2009-03-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC5004291363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health