Provider Demographics
NPI:1508331778
Name:HARDY-REID, CHAYNA (CRNP)
Entity Type:Individual
Prefix:
First Name:CHAYNA
Middle Name:
Last Name:HARDY-REID
Suffix:
Gender:F
Credentials:CRNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1505 WESTOWN WAY
Mailing Address - Street 2:
Mailing Address - City:MIDDLETOWN
Mailing Address - State:DE
Mailing Address - Zip Code:19709-9622
Mailing Address - Country:US
Mailing Address - Phone:609-247-7496
Mailing Address - Fax:
Practice Address - Street 1:30 WEST AVE
Practice Address - Street 2:
Practice Address - City:WAYNE
Practice Address - State:PA
Practice Address - Zip Code:19087-3322
Practice Address - Country:US
Practice Address - Phone:929-491-7333
Practice Address - Fax:347-789-7215
Is Sole Proprietor?:No
Enumeration Date:2018-10-03
Last Update Date:2023-12-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAPRN11026234363LF0000X
PASP019372363LF0000X
MN9235363LF0000X
NM76625363LF0000X
NH092744-23363LF0000X
DELG-0011636363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily