Provider Demographics
NPI:1811017189
Name:HARDY, LOANN (LSW)
Entity Type:Individual
Prefix:
First Name:LOANN
Middle Name:
Last Name:HARDY
Suffix:
Gender:F
Credentials:LSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:16351 I94
Mailing Address - Street 2:HOME ON THE RANGE
Mailing Address - City:SENTINEL BUTTE
Mailing Address - State:ND
Mailing Address - Zip Code:58654-9500
Mailing Address - Country:US
Mailing Address - Phone:701-872-3745
Mailing Address - Fax:701-872-3748
Practice Address - Street 1:16351 I94
Practice Address - Street 2:HOME ON THE RANGE
Practice Address - City:SENTINEL BUTTE
Practice Address - State:ND
Practice Address - Zip Code:58654-9500
Practice Address - Country:US
Practice Address - Phone:701-872-3745
Practice Address - Fax:701-872-3748
Is Sole Proprietor?:No
Enumeration Date:2007-03-30
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ND667104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker
Provider Identifiers
StateIdentifier IDID TypeIssuer
ND27482OtherBS OF ND
ND74025Medicaid