Healthcare Provider Details

I. General information

NPI: 1801716899
Provider Name (Legal Business Name): ZOE ANNA HARDY
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/20/2026
Last Update Date: 07/20/2026
Certification Date: 07/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1000 E PARK BLVD
BOISE ID
83712-7791
US

IV. Provider business mailing address

3648 N CENTREPOINT WAY UNIT 2D
MERIDIAN ID
83646-7254
US

V. Phone/Fax

Practice location:
  • Phone: 208-989-8192
  • Fax:
Mailing address:
  • Phone: 208-989-8192
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code246QL0900X
TaxonomyLaboratory Management Specialist/Technologist
License Number
License Number StateID

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: