Hardy-Peterson, Marcella L.

Hardy-Peterson, Marcella L. is an individual health care provider with primary practice located at 742 W Highland Ave , San Bernardino CA 92405-3839. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Obstetrics & Gynecology, which is considered as her primary health care specialty. Hardy-Peterson, Marcella L. can be contacted via phone (909) 881-7320.

Contact Information

Primary practice address
742 W Highland Ave San Bernardino CA 92405-3839
Phone: (909) 881-7320
Fax: (909) 881-7330
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Obstetrics & Gynecology 363LX0001X 5835 California

Profile Details

NPI number 1831138478
LBN Legal business name Hardy-Peterson, Marcella L.
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 6th, 2006
Last updated Feb 14th, 2022 - about 2 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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Identifiers

StateTypeNumberIssuer
All States NPI 1831138478 NPPES
California MEDICAID ZZZ35980Z

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