Provider Demographics
NPI:1639918345
Name:HARDIN, EMILY ELAINE
Entity type:Individual
Prefix:
First Name:EMILY
Middle Name:ELAINE
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 1:2401 RAVENEL DR
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43209-3308
Mailing Address - Country:US
Mailing Address - Phone:317-417-4651
Mailing Address - Fax:
Practice Address - Street 1:10455 EMELIA PL
Practice Address - Street 2:
Practice Address - City:PLAIN CITY
Practice Address - State:OH
Practice Address - Zip Code:43064-7515
Practice Address - Country:US
Practice Address - Phone:740-360-2744
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-05-22
Last Update Date:2024-05-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes376J00000XNursing Service Related ProvidersHomemaker