Healthcare Provider Details

I. General information

NPI: 1033036835
Provider Name (Legal Business Name): RACHEL HARDAKER
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/01/2026
Last Update Date: 07/01/2026
Certification Date: 07/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

106 LAVENDER SKY
HARVEST AL
35749-4868
US

IV. Provider business mailing address

106 LAVENDER SKY
HARVEST AL
35749-4868
US

V. Phone/Fax

Practice location:
  • Phone: 256-683-3080
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number1-189377
License Number StateAL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: