Healthcare Provider Details

I. General information

NPI: 1073183240
Provider Name (Legal Business Name): MEREDITH ANGELEE HARDT AG ACNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/29/2021
Last Update Date: 02/10/2026
Certification Date: 02/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6020 E ARBOR AVE STE 101
MESA AZ
85206-6102
US

IV. Provider business mailing address

6020 E ARBOR AVE STE 101
MESA AZ
85206-6102
US

V. Phone/Fax

Practice location:
  • Phone: 480-985-1700
  • Fax: 480-396-3659
Mailing address:
  • Phone: 602-264-9100
  • Fax: 602-264-9101

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LA2100X
TaxonomyAcute Care Nurse Practitioner
License Number262536
License Number StateAZ
# 2
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License NumberRN183631
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: