Provider Demographics
NPI:1588965776
Name:HARDEMAN, CHERI DAWN
Entity type:Individual
Prefix:
First Name:CHERI
Middle Name:DAWN
Last Name:HARDEMAN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11932 NS 3529
Mailing Address - Street 2:
Mailing Address - City:EARLSBORO
Mailing Address - State:OK
Mailing Address - Zip Code:74840-6500
Mailing Address - Country:US
Mailing Address - Phone:405-788-5681
Mailing Address - Fax:405-382-3763
Practice Address - Street 1:11932 NS 3529
Practice Address - Street 2:
Practice Address - City:EARLSBORO
Practice Address - State:OK
Practice Address - Zip Code:74840-6500
Practice Address - Country:US
Practice Address - Phone:405-788-5681
Practice Address - Fax:405-382-3763
Is Sole Proprietor?:No
Enumeration Date:2010-11-04
Last Update Date:2010-11-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator