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Shardai M Hackworth
General Practice Registered Nurse in Columbus, Ohio
NPI 1679353700

Shardai M Hackworth is a General Practice Registered Nurse based in Columbus, OH and is specialized in General Practice. Shardai M Hackworth practices in Columbus, OH. The NPI Number for Shardai M Hackworth is 1679353700 and holds a License No. 440649 (Ohio).

The current practice location address for Shardai M Hackworth is 565 Old Farm Rd, Columbus, OH and can be reached out via phone at 870-397-0395.

Location: 565 Old Farm Rd, Columbus, OH, 43213-2663
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1679353700
Provider Name
Shardai M Hackworth
Credential
Provider Entity Type
Individual
Gender
Female
Address
565 Old Farm Rd, Columbus, OH, 43213-2663
Phone Number
870-397-0395
Fax Number
Provider Enumeration Date
10/05/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
565 Old Farm Rd
City
Columbus
State
Ohio
Zip
43213-2663
Phone Number
870-397-0395
Fax Number
person
Provider Business Mailing Address Details
Address
565 Old Farm Rd
City
Columbus
State
Ohio
Zip
43213-2663
Phone Number
870-397-0395
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Registered Nurse
Speciality
General Practice
Taxonomy
163WG0000X
License No.
440649 (Ohio)
Definition
Definition to come...
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