Healthcare Provider Details

I. General information

NPI: 1740558436
Provider Name (Legal Business Name): DANIELLE LYNN HARDIN ACNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/08/2011
Last Update Date: 08/10/2026
Certification Date: 08/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

660 S EUCLID AVE
SAINT LOUIS MO
63110-1093
US

IV. Provider business mailing address

1931 HILTON HEAD DR
MISSOURI CITY TX
77459-3425
US

V. Phone/Fax

Practice location:
  • Phone: 314-286-1045
  • Fax:
Mailing address:
  • Phone: 678-699-4387
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LA2100X
TaxonomyAcute Care Nurse Practitioner
License Number2011031626
License Number StateMO
# 2
Primary TaxonomyY
Taxonomy Code363LA2100X
TaxonomyAcute Care Nurse Practitioner
License NumberAP126150
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: