Hardyman, Traci Lynn

Hardyman, Traci Lynn is an individual health care provider with primary practice located at 6500 Excelsior Blvd Digestive & Endoscopy Center, Suite #4-820, St Louis Park MN 55426-4702. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Adult Health, Physician Assistants & Advanced Practice Nursing Providers / Gerontology. Physician Assistants & Advanced Practice Nursing Providers / Gerontology is her primary health care specialty. Hardyman, Traci Lynn can be contacted via phone (952) 993-3240.

Contact Information

Primary practice address
6500 Excelsior Blvd Digestive & Endoscopy Center, Suite #4-820 St Louis Park MN 55426-4702
Phone: (952) 993-3240
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X CNP 4193 Minnesota
Physician Assistants & Advanced Practice Nursing Providers / Gerontology 363LG0600X CNP 4193 Minnesota

Profile Details

NPI number 1982076659
LBN Legal business name Hardyman, Traci Lynn
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 21st, 2015
Last updated Oct 21st, 2015 - about 11 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.

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