Hardaway, Virginia

Hardaway, Virginia is an sole proprietor health care provider with primary practice located at 2953 Country Club Rd W , Longview TX 75602-6861. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Hardaway, Virginia can be contacted via phone (903) 235-6478.

Contact Information

Primary practice address
2953 Country Club Rd W Longview TX 75602-6861
Phone: (903) 235-6478
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 687976 Texas

Profile Details

NPI number 1134570856
LBN Legal business name Hardaway, Virginia
Credentials FNP-C
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 23rd, 2016
Last updated Nov 9th, 2021 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Popular Providers