Provider Demographics
NPI:1598422636
Name:HARDY, ELIZABETH SHEREE (APRN, NP-C)
Entity Type:Individual
Prefix:
First Name:ELIZABETH
Middle Name:SHEREE
Last Name:HARDY
Suffix:
Gender:F
Credentials:APRN, NP-C
Other - Prefix:
Other - First Name:ELIZABETH
Other - Middle Name:SHEREE
Other - Last Name:HAIRE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:20 N ASTER ST
Mailing Address - Street 2:
Mailing Address - City:GREENWOOD
Mailing Address - State:AR
Mailing Address - Zip Code:72936-3145
Mailing Address - Country:US
Mailing Address - Phone:479-996-4111
Mailing Address - Fax:479-484-4793
Practice Address - Street 1:20 N ASTER ST
Practice Address - Street 2:
Practice Address - City:GREENWOOD
Practice Address - State:AR
Practice Address - Zip Code:72936-3145
Practice Address - Country:US
Practice Address - Phone:479-996-4111
Practice Address - Fax:479-484-4793
Is Sole Proprietor?:Yes
Enumeration Date:2021-11-23
Last Update Date:2023-05-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK206131363LF0000X
AR217888363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily