Provider Demographics
NPI:1861242455
Name:HARDWICK, HANNAH KAY (NP)
Entity type:Individual
Prefix:MRS
First Name:HANNAH
Middle Name:KAY
Last Name:HARDWICK
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3304 COMMONWEALTH DR
Mailing Address - Street 2:
Mailing Address - City:BRYANT
Mailing Address - State:AR
Mailing Address - Zip Code:72022-7033
Mailing Address - Country:US
Mailing Address - Phone:501-205-7020
Mailing Address - Fax:
Practice Address - Street 1:3304 COMMONWEALTH DR
Practice Address - Street 2:
Practice Address - City:BRYANT
Practice Address - State:AR
Practice Address - Zip Code:72022-7033
Practice Address - Country:US
Practice Address - Phone:501-205-7020
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-03-25
Last Update Date:2024-04-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AR227975363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner