Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
SHANE MICHEAL HARDEMON
Active Sole ProprietorSHANE MICHEAL HARDEMON is a Peer Specialist healthcare provider located in BLACKWELL, Oklahoma. NPI 1003634478 is currently active in the NPPES registry. Verify at CMS.
Peer Specialist · BLACKWELL, OK
Registration Details
- NPI Number
- 1003634478
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Oct 2, 2024 (1.6830020060764 yrs)
- Last Updated
- Oct 2, 2024
- Sole Proprietor
- Yes
Practice Information
- Address
-
444 E COLLEGE AVEBLACKWELL, OK, 746313319Browse OK providers · Browse ZIP 74631
- Phone
- 5804017527
- Primary Specialty
-
Peer Specialist
175T00000X
Other Peer Specialist Providers in BLACKWELL, OK
| Name | Credential | NPI |
|---|---|---|
| HAYLEE MAGIN | — | 1033842778 |
| MS. LADONNA FERN HAVEN | — | 1609574946 |
| SARIN IRENE ANDERSON | — | 1386597839 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.