| Doctor Name: | BRENDA HARDING |
| NPI Number: | 1194074179 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | FNP-C |
| License Number: | TAP4673 |
| Business Practice Address: | 22717 S Ellsworth Rd Suite B101 Queen Creek, AZ - 851426127 |
| Business Phone Number: | 4803065650 |
| Business Fax Number: | 4809864300 |
| Mailing Address: | 85 W Combs Rd, Suite 101-196 SAN TAN VALLEY |
| State: | AZ |
| Postal Code: | 851409105 |
| Phone Number: | 4803065650 |
| Fax Number: | 4809864300 |
| NPI Enumeration Date: | 09/05/2012 |
| NPI Last Update Date: | 04/25/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | TAP4673 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | AZ |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |