MEDICARE: GAIL HARDY ARNP

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	363LW0102X	Women's Health Nurse Practitioner	9292028	FL

General Provider Information

NPI Number	:	1548313430
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	GAIL HARDY ARNP

Provider Business Mailing Address
First Line	:	3142 NORTHSIDE DR
Second Line	:	SUITE 101
City	:	KEY WEST
State	:	FL
Zip	:	33040-8012
Country	:	US
Telephone Number	:	305-294-4004
Fax Number	:	305-294-6043

Provider Business Practice Location Address
First Line	:	3142 NORTHSIDE DR
Second Line	:	SUITE 101
City	:	KEY WEST
State	:	FL
Zip	:	33040-8012
Country	:	US
Telephone Number	:	305-294-4004
Fax Number	:	305-294-6043

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

Provider Enumeration Date	:	01/22/2007
Last Update Date	:	08/17/2009

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