Individual
MARY JO HARDY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
1501 SAN PEDRO DR SE, ALBUQUERQUE, NM 87108-5153
(505) 265-1711
Mailing address
4905 TALLY HO AVE NW, ALBUQUERQUE, NM 87114-5074
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
4704195655
MI
Other
Enumeration date
08/03/2006
Last updated
07/08/2007
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