MEDICARE: NORA R HARDY CNM

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
1	367A00000X	Advanced Practice Midwife	4704209187	MI

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1548240187
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	NORA R HARDY CNM

Provider Business Mailing Address
First Line	:	2535 MINER LAKE DR
Second Line	:
City	:	ALLEGAN
State	:	MI
Zip	:	49010-9525
Country	:	US
Telephone Number	:	269-341-7979
Fax Number	:	269-341-6261

Provider Business Practice Location Address
First Line	:	2535 MINER LAKE DR
Second Line	:
City	:	ALLEGAN
State	:	MI
Zip	:	49010-9525
Country	:	US
Telephone Number	:	269-399-9999
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/19/2006
Last Update Date	:	01/12/2024

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Directions to “ NORA R HARDY CNM” Practice Location

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