Provider Demographics
NPI:1902363039
Name:ELIZABETH HARDY APRN-NP, LLC
Entity Type:Organization
Organization Name:ELIZABETH HARDY APRN-NP, LLC
Other - Org Name:INNOVATIVE WOMEN'S HEALTHCARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER, PROVIDER
Authorized Official - Prefix:MS
Authorized Official - First Name:ELIZABETH
Authorized Official - Middle Name:ANNE
Authorized Official - Last Name:HARDY
Authorized Official - Suffix:
Authorized Official - Credentials:APRN
Authorized Official - Phone:402-469-9326
Mailing Address - Street 1:223 E 14TH ST STE 50
Mailing Address - Street 2:
Mailing Address - City:HASTINGS
Mailing Address - State:NE
Mailing Address - Zip Code:68901-3241
Mailing Address - Country:US
Mailing Address - Phone:402-834-3973
Mailing Address - Fax:402-834-3679
Practice Address - Street 1:223 E 14TH ST STE 50
Practice Address - Street 2:
Practice Address - City:HASTINGS
Practice Address - State:NE
Practice Address - Zip Code:68901-3241
Practice Address - Country:US
Practice Address - Phone:402-834-3973
Practice Address - Fax:402-834-3679
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-02-25
Last Update Date:2019-03-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LW0102XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerWomen's HealthGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NE110358OtherNP LICENSE