Individual provider · Type 1 NPI

Traci Lynn Hardyman, NP

Gerontology Nurse Practitioner · St. Louis Park, MN

NPI number 1982076659 Active

Practice location

6500 Excelsior Blvd, Digestive & Endoscopy Center, Suite #4-820
St. Louis Park, MN 55426-4702

Specialties and licenses

TaxonomyCodeLicense
Adult Health Nurse Practitioner 363LA2200XCNP 4193 (MN)
Gerontology Nurse Practitioner Primary 363LG0600XCNP 4193 (MN)

Gerontology Nurse Practitioner: Definition to come...

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About NPI 1982076659

Traci Lynn Hardyman, NP's National Provider Identifier is 1982076659, issued on Oct 21, 2015. The primary taxonomy on file is Gerontology Nurse Practitioner (363LG0600X), and the practice location is in St. Louis Park, MN. The record was last updated on Oct 21, 2015.