Provider Demographics
NPI:1265410054
Name:HARDISTY, EMILY ELLEN (MS)
Entity type:Individual
Prefix:MS
First Name:EMILY
Middle Name:ELLEN
Last Name:HARDISTY
Suffix:
Gender:F
Credentials:MS
Other - Prefix:
Other - First Name:EMILY
Other - Middle Name:ELLEN
Other - Last Name:AUTRY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MS
Mailing Address - Street 1:UNC DEPT OBGYN
Mailing Address - Street 2:CB# 7516
Mailing Address - City:CHAPEL HILL
Mailing Address - State:NC
Mailing Address - Zip Code:27599-0001
Mailing Address - Country:US
Mailing Address - Phone:919-966-2229
Mailing Address - Fax:
Practice Address - Street 1:UNIVERSITY OF NORTH CAROLINA
Practice Address - Street 2:DEPARTMENT OF OB/GYN, CB#7516
Practice Address - City:CHAPEL HILL
Practice Address - State:NC
Practice Address - Zip Code:27599-0001
Practice Address - Country:US
Practice Address - Phone:919-966-2229
Practice Address - Fax:919-966-1999
Is Sole Proprietor?:No
Enumeration Date:2006-01-03
Last Update Date:2009-10-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes170300000XOther Service ProvidersGenetic Counselor, MS