1841498144 NPI number — DR. ELIZABETH K N HARDIN PH.D.

Table of content: DR. ELIZABETH K N HARDIN PH.D. (NPI 1841498144)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1841498144 NPI number — DR. ELIZABETH K N HARDIN PH.D.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
HARDIN
Provider First Name:
ELIZABETH
Provider Middle Name:
K N
Provider Name Prefix Text:
DR.
Provider Name Suffix Text:
Provider Credential Text:
PH.D.
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
WONG
Provider Other First Name:
ELIZABETH
Provider Other Middle Name:
K N
Provider Other Name Prefix Text:
DR.
Provider Other Name Suffix Text:
Provider Other Credential Text:
PH.D.
Provider Other Last Name Type Code:
2

NPI Number Information

NPI Number:
1841498144
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
07/08/2007
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
2825 E WEYMOUTH CIR
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
TUCSON
Provider Business Mailing Address State Name:
AZ
Provider Business Mailing Address Postal Code:
85716-1229
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
520-320-1051
Provider Business Mailing Address Fax Number:
520-320-1051

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
4550 E 5TH ST
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
TUCSON
Provider Business Practice Location Address State Name:
AZ
Provider Business Practice Location Address Postal Code:
85711-7004
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
520-321-1310
Provider Business Practice Location Address Fax Number:
520-321-1310
Provider Enumeration Date:
07/07/2007

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 103TC0700X , with the licence number:  3449 , registered in the state of AZ ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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