NPI 1063919322

Anita Shanell Hardy

Practitioner Private Vehicle Suffolk, VA

Practice location

Address: 5652 Nathaniel St, Suffolk, VA 23435-2534
Phone: (757) 537-3580
Fax: (757) 539-6088

Registered specialties

Private Vehicle Primary

Transportation Services Taxonomy 347C00000X

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Registry record

NPI: 1063919322
Entity type: Individual
Sex (as registered): Female
NPI issued: 12 Apr 2018
Record last updated: 12 Apr 2018

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.