Provider Demographics
NPI:1922632082
Name:HARDY, DAVI ANN (PMHNP-BC)
Entity Type:Individual
Prefix:DR
First Name:DAVI
Middle Name:ANN
Last Name:HARDY
Suffix:
Gender:F
Credentials:PMHNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8666 BEECHMONT AVE STE 1057
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45255-4710
Mailing Address - Country:US
Mailing Address - Phone:937-308-7074
Mailing Address - Fax:
Practice Address - Street 1:6408 STOLL LN
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45236
Practice Address - Country:US
Practice Address - Phone:937-308-7074
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-02-27
Last Update Date:2024-04-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NM78154363LP0808X
COC-RXN.0101340-C-NP363LP0808X
AZ306115363LP0808X
COC-APN.0101993-C-NP363LP0808X
OHAPRN.CNP.0033542363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health