Provider Demographics
NPI:1124838685
Name:HARDIN, ANN MARIE (RN)
Entity type:Individual
Prefix:
First Name:ANN
Middle Name:MARIE
Last Name:HARDIN
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:17115 IH 35 N STE 123
Mailing Address - Street 2:
Mailing Address - City:SCHERTZ
Mailing Address - State:TX
Mailing Address - Zip Code:78154-1468
Mailing Address - Country:US
Mailing Address - Phone:210-539-0847
Mailing Address - Fax:210-539-2107
Practice Address - Street 1:17115 IH 35 N STE 123
Practice Address - Street 2:
Practice Address - City:SCHERTZ
Practice Address - State:TX
Practice Address - Zip Code:78154-1468
Practice Address - Country:US
Practice Address - Phone:210-539-0847
Practice Address - Fax:210-539-2107
Is Sole Proprietor?:No
Enumeration Date:2025-01-08
Last Update Date:2025-01-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX729293163WC0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WC0400XNursing Service ProvidersRegistered NurseCase Management