=====================================================
General NPI Number Information
=====================================================
NPI Number | 1730693037
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | EMILY CUMMINGS HARDY
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 11/22/2017
-----------------------------------------------------
Last Update Date | 01/03/2022
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 770 WELCH RD
-----------------------------------------------------
City | PALO ALTO
-----------------------------------------------------
State | CA
-----------------------------------------------------
Zip | 94304-1511
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 650-723-5000
-----------------------------------------------------
Fax | 650-723-5000
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 1787 48TH AVE
-----------------------------------------------------
City | SAN FRANCISCO
-----------------------------------------------------
State | CA
-----------------------------------------------------
Zip | 94122-3919
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 415-254-5289
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 176B00000X
-----------------------------------------------------
Taxonomy Name | Midwife
-----------------------------------------------------
License Number | 235929
-----------------------------------------------------
License Number State | CA
-----------------------------------------------------