Provider Demographics
NPI:1427261148
Name:HARDIN, TAMI RENEE
Entity type:Individual
Prefix:MRS
First Name:TAMI
Middle Name:RENEE
Last Name:HARDIN
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 1:160 LAKEWOOD DR APT 53
Mailing Address - Street 2:
Mailing Address - City:BELLEFONTAINE
Mailing Address - State:OH
Mailing Address - Zip Code:43311-2839
Mailing Address - Country:US
Mailing Address - Phone:937-539-1532
Mailing Address - Fax:
Practice Address - Street 1:160 LAKEWOOD DR APT 53
Practice Address - Street 2:
Practice Address - City:BELLEFONTAINE
Practice Address - State:OH
Practice Address - Zip Code:43311-2839
Practice Address - Country:US
Practice Address - Phone:937-539-1532
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-08
Last Update Date:2025-08-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH171W00000X
3747P1801X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant
No171W00000XOther Service ProvidersContractor