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Angela Faye Hardman

Nurse Practitioner

Physician Assistants & Advanced Practice Nursing Providers

9900 Bren Rd E, Minnetonka, MN 55343-9664

PECOS Enrollment

This provider is enrolled in PECOS as ANGELA HARDMAN.

Based on the most recent information from CMS, provider Angela Faye Hardman is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records 4 days ago.

Profile Details

Provider ID
1316267610
Provider Type
Individual
Full Name
Hardman, Angela Faye
Credential
APN

Gender
Female
Sole Proprietor
No
Enumeration Date
6/9/2010
Last Updated
7/13/2020

Contact Information

Practice Location

9900 Bren Rd E, Minnetonka, MN 55343-9664

(813) 890-4500

Unlisted Fax

Mailing Location

1637 Garcon Point Rd, Milton, FL 32583-7484

(850) 860-2557

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 363L00000X Primary	Description Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers	License ARNP9371021 Florida
Code 363L00000X	Description Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers	License 14975 Tennessee

Provider Identifiers

ID	Description	Issuer
ID 9371021	Description Other	Issuer ARNP LICENSE Florida
ID 14975	Description Other	Issuer APN Tennessee

Angela Faye Hardman

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Code

Description

License

Provider Identifiers

ID

Description

Issuer

ID

Description

Issuer

ID

Description

Issuer

Wells, Angela G

Callis, Kelly Ann

Rokoszak, Lorraine

Russell, Maryanne

Daiuto, Lauren

Berry, Wakiya

Lukas, Henny

Pennicooke, Denise

Malark, Claire

Arambula, Elva Maria