Provider Demographics
NPI:1942536644
Name:HARDINGE, TARA L (ADVANCED PRAC NURSE)
Entity Type:Individual
Prefix:MS
First Name:TARA
Middle Name:L
Last Name:HARDINGE
Suffix:
Gender:F
Credentials:ADVANCED PRAC NURSE
Other - Prefix:
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Mailing Address - Street 1:310 MADISON AVE
Mailing Address - Street 2:STE 300
Mailing Address - City:MORRISTOWN
Mailing Address - State:NJ
Mailing Address - Zip Code:07960-6967
Mailing Address - Country:US
Mailing Address - Phone:973-579-2100
Mailing Address - Fax:973-579-6638
Practice Address - Street 1:222 HIGH ST
Practice Address - Street 2:SUITE 205
Practice Address - City:NEWTON
Practice Address - State:NJ
Practice Address - Zip Code:07860-9604
Practice Address - Country:US
Practice Address - Phone:973-579-2100
Practice Address - Fax:973-579-6638
Is Sole Proprietor?:No
Enumeration Date:2009-10-30
Last Update Date:2024-01-17
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Provider Licenses
StateLicense IDTaxonomies
NJ26NJ00255300363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJP00835788OtherRAILROAD MEDICARE
NJ0223581Medicaid
NJ0223581Medicaid