Provider Demographics
NPI:1952333437
Name:HARDT, PATRICIA ANN (ARNP)
Entity Type:Individual
Prefix:
First Name:PATRICIA
Middle Name:ANN
Last Name:HARDT
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8005 IRVINGTON RD
Mailing Address - Street 2:
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68122-1123
Mailing Address - Country:US
Mailing Address - Phone:402-779-1219
Mailing Address - Fax:402-571-0302
Practice Address - Street 1:8005 IRVINGTON RD
Practice Address - Street 2:
Practice Address - City:OMAHA
Practice Address - State:NE
Practice Address - Zip Code:68122-1123
Practice Address - Country:US
Practice Address - Phone:402-779-1219
Practice Address - Fax:402-571-0302
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-07
Last Update Date:2023-09-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE110237363LP0808X
IAT-044087363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health