Provider Demographics
NPI:1417562935
Name:HARDY, ANTOINETTE ELIZABETH (FNP-C)
Entity Type:Individual
Prefix:
First Name:ANTOINETTE
Middle Name:ELIZABETH
Last Name:HARDY
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:473 HOWELL SCHOOL RD
Mailing Address - Street 2:
Mailing Address - City:BEAR
Mailing Address - State:DE
Mailing Address - Zip Code:19701-2316
Mailing Address - Country:US
Mailing Address - Phone:302-898-7733
Mailing Address - Fax:
Practice Address - Street 1:18119 SUSSEX HWY UNIT 1
Practice Address - Street 2:
Practice Address - City:BRIDGEVILLE
Practice Address - State:DE
Practice Address - Zip Code:19933-4095
Practice Address - Country:US
Practice Address - Phone:302-956-6986
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-09-11
Last Update Date:2020-09-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DELG-0001453363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily