Doctor Name: | MS. REBECCA ANN HARDIE |
NPI Number: | 1316922834 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | ARNP,BC MSN CS |
License Number: | 1037940 |
Business Practice Address: | 289 Ireland Ave Ireland Army Community Hospital Fort Knox, KY - 401215111 |
Business Phone Number: | 5026249983 |
Business Fax Number: | |
Mailing Address: | 1903 Strathmoor Blvd, LOUISVILLE |
State: | KY |
Postal Code: | 402052525 |
Phone Number: | 5024521452 |
Fax Number: | |
NPI Enumeration Date: | 12/07/2005 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 163WP0808X |
License Number: | 1037940 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | KY |
Taxonomy Type: | Nursing Service Providers |
Taxonomy Classification: | Registered Nurse |
Taxonomy Specialization: | Psych/Mental Health |
Taxonomy Definition: |