Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LA2100X | Nurse Practitioner - Acute Care | APRN.CNP.0027502 | OH |
NPI | 1003422916 |
---|---|
Provider Name | Rebecca Hardt |
First Address | Cincinnati, OH 45212-3397 |
Second Address | Cincinnati, OH 45247-5205 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 17/09/2020 |
Last Update Date | 08/09/2021 |