MEDICARE: AMY LYNN HARDEN

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	374U00000X	Home Health Aide	603176490426	OH

General Provider Information

NPI Number	:	1710824305
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	AMY LYNN HARDEN

Provider Business Mailing Address
First Line	:	10023 DUNRAVEN DR
Second Line	:
City	:	CINCINNATI
State	:	OH
Zip	:	45251-1627
Country	:	US
Telephone Number	:	513-913-9350
Fax Number	:

Provider Business Practice Location Address
First Line	:	10023 DUNRAVEN DR
Second Line	:
City	:	CINCINNATI
State	:	OH
Zip	:	45251-1627
Country	:	US
Telephone Number	:	513-913-9350
Fax Number	:

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

Provider Enumeration Date	:	05/01/2026
Last Update Date	:	05/01/2026

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