Healthcare Provider Details

I. General information

NPI: 1891653754
Provider Name (Legal Business Name): MONICA M HARDY RN MSN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/12/2026
Last Update Date: 08/18/2026
Certification Date: 08/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1113 44TH AVE N STE 100
MYRTLE BEACH SC
29577-5780
US

IV. Provider business mailing address

1113 44TH AVE N STE 100
MYRTLE BEACH SC
29577-5780
US

V. Phone/Fax

Practice location:
  • Phone: 219-614-7588
  • Fax:
Mailing address:
  • Phone: 219-614-7588
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License NumberAPN.32082.RX
License Number StateSC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: