Healthcare Provider Details

I. General information

NPI: 1649979063
Provider Name (Legal Business Name): NURSE DANIEL HARDY LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/24/2023
Last Update Date: 02/24/2023
Certification Date: 02/24/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1124 CLEVELAND AVE
HAMILTON OH
45013-1725
US

IV. Provider business mailing address

1124 CLEVELAND AVE
HAMILTON OH
45013-1725
US

V. Phone/Fax

Practice location:
  • Phone: 513-642-9241
  • Fax:
Mailing address:
  • Phone: 513-642-9241
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: DANIEL S HARDY
Title or Position: OWNER, PSYCHIATRIC NP
Credential: APRN
Phone: 513-642-9241