Provider Demographics
NPI:1972971331
Name:HARDIN, PEI-LING (FNP)
Entity Type:Individual
Prefix:
First Name:PEI-LING
Middle Name:
Last Name:HARDIN
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 1:213 BUCKINGHAM AVE
Mailing Address - Street 2:
Mailing Address - City:EULESS
Mailing Address - State:TX
Mailing Address - Zip Code:76040-3208
Mailing Address - Country:US
Mailing Address - Phone:469-879-9468
Mailing Address - Fax:
Practice Address - Street 1:213 BUCKINGHAM AVE
Practice Address - Street 2:
Practice Address - City:EULESS
Practice Address - State:TX
Practice Address - Zip Code:76040-3208
Practice Address - Country:US
Practice Address - Phone:469-879-9468
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-09-02
Last Update Date:2015-09-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAP127845363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily