Individual
NOLA M HARDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
3130 SHORE DR, MARINETTE, WI 54143-4291
(715) 735-7421
Mailing address
781 OAK ST, APT 8, PESHTIGO, WI 54157-1724
(715) 735-4609
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
1991-029
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
963997
DIETETIC REGISTRATION
WI
Enumeration date
02/16/2007
Last updated
07/08/2007
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