Doctor Name: | DR. JEANNE ANNE HARDIE |
NPI Number: | 1043457294 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M. D. |
License Number: | MD-7838 |
Business Practice Address: | 395 Wekiu Pl Lahaina, HI - 967612916 |
Business Phone Number: | 8086617860 |
Business Fax Number: | |
Mailing Address: | 395 Wekiu Pl, LAHAINA |
State: | HI |
Postal Code: | 967612916 |
Phone Number: | 8086617860 |
Fax Number: | |
NPI Enumeration Date: | 01/09/2009 |
NPI Last Update Date: | 01/09/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | MD-7838 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | HI |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |