Provider Demographics
NPI:1952509622
Name:HARDY, VERNITA (RN)
Entity Type:Individual
Prefix:
First Name:VERNITA
Middle Name:
Last Name:HARDY
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6520 BRYCE CANYON DR S
Mailing Address - Street 2:
Mailing Address - City:GREENWELL SPRINGS
Mailing Address - State:LA
Mailing Address - Zip Code:70739-3160
Mailing Address - Country:US
Mailing Address - Phone:225-261-4791
Mailing Address - Fax:
Practice Address - Street 1:6520 BRYCE CANYON DR S
Practice Address - Street 2:
Practice Address - City:GREENWELL SPRINGS
Practice Address - State:LA
Practice Address - Zip Code:70739-3160
Practice Address - Country:US
Practice Address - Phone:225-261-4791
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-07-04
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LARN094380163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse