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NPI Code Detail

MEDICARE: MRS. MAKAYLA NICOLE HARDEMAN WHNP-BC, CNM

MEDICARE: MRS. MAKAYLA NICOLE HARDEMAN WHNP-BC, CNM
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
1367A00000XAdvanced Practice MidwifeRN274807GA
2363LW0102XWomen's Health Nurse PractitionerRN274807GA

General Provider Information

NPI Number : 1891426656
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. MAKAYLA NICOLE HARDEMAN WHNP-BC, CNM
Provider Business Mailing Address
First Line : 206 FAIRVIEW PARK DR
Second Line :
City : DUBLIN
State : GA
Zip : 31021-2547
Country : US
Telephone Number : 478-246-4304
Fax Number :
Provider Business Practice Location Address
First Line : 3455 PEACHTREE RD NE STE 500
Second Line :
City : ATLANTA
State : GA
Zip : 30326-3236
Country : US
Telephone Number : 914-919-9200
Fax Number : 833-913-2393
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/22/2022
Last Update Date : 12/09/2025

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