MEDICARE: MRS. RHONDA MAY HARDY-JOEL CNP, CRNA

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	163W00000X	Registered Nurse	R 166343-3	MN
2	363L00000X	Nurse Practitioner	CNP 0105	MN
3	363L00000X	Nurse Practitioner	AP61394300	WA
4	367500000X	Certified Registered Nurse Anesthetist	CRNA 0092	MN
5	367500000X	Certified Registered Nurse Anesthetist	NA95000608	CA
6	367500000X	Certified Registered Nurse Anesthetist	1370	AZ
7	367500000X	Certified Registered Nurse Anesthetist	AP61394299	WA

General Provider Information

NPI Number	:	1932500303
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. RHONDA MAY HARDY-JOEL CNP, CRNA

Provider Business Mailing Address
First Line	:	306 PINNACLE DR
Second Line	:
City	:	MADERA
State	:	CA
Zip	:	93636-8795
Country	:	US
Telephone Number	:	763-443-9724
Fax Number	:

Provider Business Practice Location Address
First Line	:	14205 SE 36TH ST STE 100-288
Second Line	:
City	:	BELLEVUE
State	:	WA
Zip	:	98006-1596
Country	:	US
Telephone Number	:	763-443-9724
Fax Number	:

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

Provider Enumeration Date	:	09/04/2014
Last Update Date	:	07/01/2023

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