Individual
OMEGA DALE ELLISON HARDY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NNP-BC
Contact information
Practice address
CHILDREN'S HEALTHCARE OF ATLANTA 1405 CLIFTON ROAD NE, ATLANTA, GA 30322-1700
(404) 785-5437
Mailing address
801 MONTCLAIR RD APT 4220, BIRMINGHAM, AL 35213-2005
Taxonomy
Speciality
Code
Description
License number
State
163WN0002X
Neonatal Intensive Care Registered Nurse
1-173540
AL
363L00000X
Nurse Practitioner
Primary
RN307749
GA
Other
Enumeration date
11/15/2019
Last updated
03/18/2023
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