MEDICARE: MS. CLAUDEINE HARDAWAY

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	376K00000X	Nurse's Aide	375604560596	OH

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1467678565
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. CLAUDEINE HARDAWAY

Provider Business Mailing Address
First Line	:	1795 W 25TH ST
Second Line	:	SUITE 1041
City	:	CLEVELAND
State	:	OH
Zip	:	44113-3112
Country	:	US
Telephone Number	:	216-621-4356
Fax Number	:	216-621-4356

Provider Business Practice Location Address
First Line	:	1795 W 25TH ST
Second Line	:	SUITE 1041
City	:	CLEVELAND
State	:	OH
Zip	:	44113-3112
Country	:	US
Telephone Number	:	216-621-4356
Fax Number	:	216-621-4356

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/17/2007
Last Update Date	:	07/09/2007

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