Provider Demographics
NPI:1205130408
Name:HARDIN, CHERYLE LYNN
Entity type:Individual
Prefix:
First Name:CHERYLE
Middle Name:LYNN
Last Name:HARDIN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3527 SILVERADO DR
Mailing Address - Street 2:
Mailing Address - City:CARSON CITY
Mailing Address - State:NV
Mailing Address - Zip Code:89705-6952
Mailing Address - Country:US
Mailing Address - Phone:775-790-9074
Mailing Address - Fax:
Practice Address - Street 1:411 MILL ST
Practice Address - Street 2:
Practice Address - City:RENO
Practice Address - State:NV
Practice Address - Zip Code:89502-1025
Practice Address - Country:US
Practice Address - Phone:775-250-1800
Practice Address - Fax:775-345-3147
Is Sole Proprietor?:No
Enumeration Date:2011-01-02
Last Update Date:2011-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator