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NPI Code Detail

MEDICARE: MADELINE RENEE HARDACRE MD

MEDICARE: MADELINE RENEE HARDACRE MD
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
1207V00000XObstetrics & Gynecology Physician17160NV
2207VB0002XObesity Medicine (Obstetrics & Gynecology) Physician17160NV
3207V00000XObstetrics & Gynecology Physician29158AL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
117160OTHERNVNV LICENSE
210752358OTHERNVCAQH

General Provider Information

NPI Number : 1912084815
Entity Type Code : Individual
Provider Name (Legal Business Name) : MADELINE RENEE HARDACRE MD
Provider Business Mailing Address
First Line : 1155 MILL ST # M14
Second Line :
City : RENO
State : NV
Zip : 89502-1576
Country : US
Telephone Number : 775-982-5262
Fax Number : 775-982-2821
Provider Business Practice Location Address
First Line : 1500 E 2ND ST STE 206
Second Line :
City : RENO
State : NV
Zip : 89502-1198
Country : US
Telephone Number : 775-982-2820
Fax Number : 775-982-2821
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/01/2006
Last Update Date : 02/23/2026

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Directions to “ MADELINE RENEE HARDACRE MD” Practice Location

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