Provider Demographics
NPI:1184259723
Name:HARDY, MELINA (APRN)
Entity type:Individual
Prefix:
First Name:MELINA
Middle Name:
Last Name:HARDY
Suffix:
Gender:
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:108 DARLINGDALE AVE
Mailing Address - Street 2:
Mailing Address - City:PAWTUCKET
Mailing Address - State:RI
Mailing Address - Zip Code:02861-1906
Mailing Address - Country:US
Mailing Address - Phone:617-309-9944
Mailing Address - Fax:
Practice Address - Street 1:910 DOUGLAS PIKE
Practice Address - Street 2:
Practice Address - City:SMITHFIELD
Practice Address - State:RI
Practice Address - Zip Code:02917-1874
Practice Address - Country:US
Practice Address - Phone:401-427-6727
Practice Address - Fax:401-709-7181
Is Sole Proprietor?:No
Enumeration Date:2020-03-04
Last Update Date:2025-04-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RIAPRN04484363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily