Provider Demographics
NPI:1932500303
Name:HARDY-JOEL, RHONDA MAY (CNP, CRNA)
Entity Type:Individual
Prefix:MRS
First Name:RHONDA
Middle Name:MAY
Last Name:HARDY-JOEL
Suffix:
Gender:F
Credentials:CNP, CRNA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:306 PINNACLE DR
Mailing Address - Street 2:
Mailing Address - City:MADERA
Mailing Address - State:CA
Mailing Address - Zip Code:93636-8795
Mailing Address - Country:US
Mailing Address - Phone:763-443-9724
Mailing Address - Fax:
Practice Address - Street 1:14205 SE 36TH ST STE 100-288
Practice Address - Street 2:
Practice Address - City:BELLEVUE
Practice Address - State:WA
Practice Address - Zip Code:98006-1596
Practice Address - Country:US
Practice Address - Phone:763-443-9724
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-09-04
Last Update Date:2023-07-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MNR 166343-3163W00000X
MNCNP 0105363L00000X
WAAP61394300363L00000X
MNCRNA 0092367500000X
CANA95000608367500000X
AZ1370367500000X
WAAP61394299367500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered
No163W00000XNursing Service ProvidersRegistered Nurse
No363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner