MRS. VICKI ANN HARDISTY (NPI# 1720353287) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1720353287 |
Entity Type | Individual |
Full Name | MRS. VICKI ANN HARDISTY |
Credential | APRN, CNP |
Practice Address |
503 Muir St Ste A Cambridge MD 21613-1848 |
Practice Telephone | 4102284045 |
Practice Fax Number | 8339082286 |
Mailing Telephone | 4102284045 |
Mailing Fax Number | 3390822688 |
Enumeration Date | 2012-03-16 |
Last Update Date | 2020-10-29 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
R156476 | MD | Physician Assistants & Advanced Practice Nursing Providers |
N | 363LF0000X |
Nurse Practitioner Specialization: Family |
LG-0000610 | DE | Physician Assistants & Advanced Practice Nursing Providers |
Address | Telephone Number | Fax Number |
---|---|---|
1001 Middleford Rd, Seaford, DE 199733638 | 3026285612 | |
904 Middleford Rd, Seaford, DE 199733604 | 3026295553 | 3025367009 |
Street Address |
503 MUIR ST STE A |
City | CAMBRIDGE |
State | MD |
Zip Code | 21613-1848 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1376535518 | Lawrence A. Barrett II | Dentist | 503 Muir St Ste A, Cambridge, MD 21613 | 2005-08-15 |
1245837574 | Alexandra Barniea | Nurse Practitioner | 503 Muir St Ste A, Cambridge, MD 21613-1848 | 2020-10-09 |
1093334971 | Lawkpezi Abide Yawa Bagnabana | Student in an Organized Health Care Education/Training Program | 503 Muir St Ste A, Cambridge, MD 21613-1848 | 2020-04-10 |
1326675588 | Anna Zito Hackney | Dental Hygienist | 503 Muir St Ste A, Cambridge, MD 21613-1848 | 2020-03-26 |
1144884834 | Raed Ayoub | Dentist | 503 Muir St Ste A, Cambridge, MD 21613-1848 | 2019-04-28 |
1104330927 | Daniel Shields | Registered Nurse | 503 Muir St Ste A, Cambridge, MD 21613-1848 | 2017-12-01 |
1558713735 | Rachel Malinda Spellman | Nurse Practitioner | 503 Muir St Ste A, Cambridge, MD 21613-1848 | 2016-07-12 |
1497116735 | Myra Jehangir | Dentist | 503 Muir St Ste A, Cambridge, MD 21613-1848 | 2016-03-15 |
1710389051 | Ellen Catherine Jordan | Physician Assistant | 503 Muir St Ste A, Cambridge, MD 21613-1848 | 2014-09-18 |
1013252659 | Jovonne Chandler Osborne | Nurse Practitioner | 503 Muir St Ste A, Cambridge, MD 21613-1848 | 2012-12-09 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1225427289 | A Better Alternative Nursing Avency, Inc | Nursing Care | 204 Cedar Street, Canbridge, MD 21613 | 2015-01-14 |
1497048524 | Christina Marie Drostin | Family Medicine | 503 A Muir Street, Cambridge, MD 21613 | 2011-05-23 |
1841589058 | Wal-mart Stores East Lp | Technician/Technologist | 2775 Dorchester Square, Cambridge, MD 21613 | 2011-03-29 |
1053624452 | Gina Exantus-bernard | Pediatrics | 400 Byrn St Ste A, Cambridge, MD 21613 | 2010-07-14 |
1235362872 | St of Md/dhmh Dorchester Co Health Dept | Public Health or Welfare | 2475 Cambridge Bypass, Cambridge, MD 21613 | 2009-08-31 |
1801916622 | Alisha Foxwell Saulsbury | Social Worker | 208 Cedar St, Cambridge, MD 21613 | 2007-03-29 |
1497890669 | Charles Edmund Connelly Jr. | Dentist | 406 Lecompte Street, Cambridge, MD 21613 | 2007-02-21 |
1114088192 | Delmarva Community Services Inc | Nursing Care | 6210 Shiloh Church Hurlock Rd, Hurlock, MD 21613 | 2006-12-13 |
1184782658 | Lesa M Lee | Social Worker | 403 Race Street, Cambridge, MD 21613 | 2006-12-05 |
1750455747 | Jenny Lynne Jarrell | Social Worker | 208 Cedar Street, Cambridge, MD 21613 | 2006-11-20 |
Find all providers in zip 21613 |
Taxonomy Code | 363LF0000X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Family |
Definition to come... |
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1598379844 | Austin Keith Gydesen | Nurse Practitioner | 1022 Pacific St, Cambridge, NE 69022-3517 | 2020-09-03 |
1922626068 | Holly Grace Duddy | Nurse Practitioner | 111 Sciarappa St Apt 3, Cambridge, MA 02141-2149 | 2020-07-06 |
1447877311 | Page Tomlinson | Nurse Practitioner | 272 No Main St Suite 101, Cambridge, VT 05444-0102 | 2020-06-26 |
1053948828 | Afomia Bekele | Nurse Practitioner | 603 Concord Ave Unit 204, Cambridge, MA 02138-1198 | 2020-03-23 |
1366072647 | Megan Oslund | Nurse Practitioner | 1586 345th Trl Ne, Cambridge, MN 55008-5711 | 2020-01-25 |
1538705314 | Jennifer Marlene Hess | Nurse Practitioner | 14011 E Pike Rd, Cambridge, OH 43725-9166 | 2019-11-27 |
1841780038 | Cassie Lynn Hugebeck | Nurse Practitioner | 62089 Savage Rd, Cambridge, OH 43725-9760 | 2018-05-14 |
1497275804 | Blake Coulter Mcknight | Nurse Practitioner | 272 North Main Street, #101, Cambridge, VT 05444 | 2017-06-27 |
1669922589 | Molly Ariel Shear | Nurse Practitioner | 29 Copley St, Cambridge, MA 02138-1238 | 2016-10-04 |
1508268061 | Erica Tassinari | Nurse Practitioner | 300 Mount Auburn St Ste 310, Cambridge, MA 02138-5665 | 2014-09-16 |
Find all providers in CAMBRIDGE |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.