Provider Demographics
NPI:1063503878
Name:HARDY, ELAINE (MS, RN, APN, C)
Entity Type:Individual
Prefix:
First Name:ELAINE
Middle Name:
Last Name:HARDY
Suffix:
Gender:F
Credentials:MS, RN, APN, C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:319 AIRPORT RD
Mailing Address - Street 2:
Mailing Address - City:HACKETTSTOWN
Mailing Address - State:NJ
Mailing Address - Zip Code:07840-3465
Mailing Address - Country:US
Mailing Address - Phone:908-840-0888
Mailing Address - Fax:
Practice Address - Street 1:319 AIRPORT RD
Practice Address - Street 2:
Practice Address - City:HACKETTSTOWN
Practice Address - State:NJ
Practice Address - Zip Code:07840-3465
Practice Address - Country:US
Practice Address - Phone:908-840-0888
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-09-27
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJNN108327363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily