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NPI Code Detail

MEDICARE: MICHELLE LYNN HARDY

MEDICARE: MICHELLE LYNN HARDY
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1163W00000XRegistered NurseL1-0035106DE

General Provider Information

NPI Number : 1477764645
Entity Type Code : Individual
Provider Name (Legal Business Name) : MICHELLE LYNN HARDY
Provider Business Mailing Address
First Line : 1311 MILLCHOP LN
Second Line :
City : MAGNOLIA
State : DE
Zip : 19962-1750
Country : US
Telephone Number : 302-423-5257
Fax Number :
Provider Business Practice Location Address
First Line : 1311 MILLCHOP LN
Second Line :
City : MAGNOLIA
State : DE
Zip : 19962-1750
Country : US
Telephone Number : 302-423-5257
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/26/2007
Last Update Date : 07/08/2007

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Directions to “ MICHELLE LYNN HARDY ” Practice Location

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