Provider Demographics
NPI:1902181753
Name:TALIAFERRO HARDIN, SHELIA (APRN)
Entity type:Individual
Prefix:
First Name:SHELIA
Middle Name:
Last Name:TALIAFERRO HARDIN
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2030 W HICKORY ST APT 205
Mailing Address - Street 2:
Mailing Address - City:DENTON
Mailing Address - State:TX
Mailing Address - Zip Code:76201-5701
Mailing Address - Country:US
Mailing Address - Phone:870-267-3641
Mailing Address - Fax:
Practice Address - Street 1:1501 N ELM ST
Practice Address - Street 2:
Practice Address - City:DENTON
Practice Address - State:TX
Practice Address - Zip Code:76201-3021
Practice Address - Country:US
Practice Address - Phone:940-387-0019
Practice Address - Fax:855-392-5987
Is Sole Proprietor?:No
Enumeration Date:2011-10-12
Last Update Date:2025-01-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1169298363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily