Provider Demographics
NPI:1023612058
Name:HARDY, CANDACE (CRNP)
Entity type:Individual
Prefix:
First Name:CANDACE
Middle Name:
Last Name:HARDY
Suffix:
Gender:F
Credentials:CRNP
Other - Prefix:
Other - First Name:CANDACE
Other - Middle Name:SHARDAE
Other - Last Name:ORR
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:CRNP
Mailing Address - Street 1:1 HOSPITAL DR SW STE 302
Mailing Address - Street 2:
Mailing Address - City:HUNTSVILLE
Mailing Address - State:AL
Mailing Address - Zip Code:35801-3495
Mailing Address - Country:US
Mailing Address - Phone:256-964-8947
Mailing Address - Fax:
Practice Address - Street 1:1 HOSPITAL DR SW STE 302
Practice Address - Street 2:
Practice Address - City:HUNTSVILLE
Practice Address - State:AL
Practice Address - Zip Code:35801-3495
Practice Address - Country:US
Practice Address - Phone:256-964-8947
Practice Address - Fax:256-715-1754
Is Sole Proprietor?:Yes
Enumeration Date:2020-11-30
Last Update Date:2023-08-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL1-136459163W00000X
AL1-36459363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGroup - Single Specialty
No163W00000XNursing Service ProvidersRegistered Nurse