Healthcare Provider Details

I. General information

NPI: 1841104189
Provider Name (Legal Business Name): UNIQUE HARDY
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

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

III. Provider practice location address

5760 N 67TH ST
MILWAUKEE WI
53218-2307
US

IV. Provider business mailing address

8722 W LAPHAM ST
WEST ALLIS WI
53214-4320
US

V. Phone/Fax

Practice location:
  • Phone: 414-578-5022
  • Fax:
Mailing address:
  • Phone: 262-442-9853
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WS0200X
TaxonomySchool Registered Nurse
License Number191249
License Number StateWI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: