WAUNTESHA HARDY AGPCNP-BC NPI 1518487677

NPI Information

NPI: 1518487677
Provider Name: WAUNTESHA HARDY, AGPCNP-BC
Classification: Nurse Practitioner - 363LG0600X
Entity Type: Individual

Specialization: Gerontology

PECOS Registration: Yes

Address:
3920 ST FRANCIS WAY STE 209
LAFAYETTE, IN
ZIP 47905
Phone: (765) 775-2830
Get Directions

Wauntesha Hardy, AGPCNP-BC is a gerontology nurse practitioner in Lafayette, IN. Wauntesha Hardy, AGPCNP-BC NPI is 1518487677. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

3920 ST FRANCIS WAY STE 209
LAFAYETTE, IN
ZIP 47905-917
Phone: (765) 775-2830

The NPI 1518487677 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 6/20/2017 and was last updated on 3/13/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LG0600X	Nurse Practitioner	Gerontology	28193111A	INDIANA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	300004440	MEDICAID	INDIANA
2	471400463	OTHER	INDIANA	MEDICARE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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