Healthcare Provider Details

I. General information

NPI: 1174137798
Provider Name (Legal Business Name): LAURA ELIZABETH HARDY CRNA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/01/2020
Last Update Date: 07/01/2026
Certification Date: 07/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

725 NORTH ST
PITTSFIELD MA
01201-4124
US

IV. Provider business mailing address

960 BELMERE DR
LEXINGTON KY
40509-2248
US

V. Phone/Fax

Practice location:
  • Phone: 413-447-2000
  • Fax:
Mailing address:
  • Phone: 859-230-7794
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code367500000X
TaxonomyCertified Registered Nurse Anesthetist
License NumberRN2341265
License Number StateMA
# 2
Primary TaxonomyN
Taxonomy Code367500000X
TaxonomyCertified Registered Nurse Anesthetist
License Number128399
License Number StateKY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: