Provider Demographics
NPI:1922635911
Name:MILLER-HARDWICK, CASSANDRA OLIVIA (RN, MSN, CRRN)
Entity Type:Individual
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First Name:CASSANDRA
Middle Name:OLIVIA
Last Name:MILLER-HARDWICK
Suffix:
Gender:F
Credentials:RN, MSN, CRRN
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Mailing Address - Street 1:1 VETERANS DRIVE
Mailing Address - Street 2:SCI
Mailing Address - City:MINNEAPOLIS
Mailing Address - State:MN
Mailing Address - Zip Code:55417
Mailing Address - Country:US
Mailing Address - Phone:612-467-4764
Mailing Address - Fax:612-629-7280
Practice Address - Street 1:1 VETERANS DRIVE
Practice Address - Street 2:SCI
Practice Address - City:MINNEAPOLIS
Practice Address - State:MN
Practice Address - Zip Code:55417
Practice Address - Country:US
Practice Address - Phone:612-467-4731
Practice Address - Fax:612-250-6413
Is Sole Proprietor?:No
Enumeration Date:2020-03-27
Last Update Date:2020-03-27
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MN162624-7163WR0400X
MNR163624-7163WR0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WR0400XNursing Service ProvidersRegistered NurseRehabilitation