Individual
JILL M HARDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
640 JACKSON ST, SAINT PAUL, MN 55101-2502
(651) 254-3456
Mailing address
1229 MADISON ST STE 1440, SEATTLE, WA 98104-3538
(206) 625-0578
(206) 625-9184
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
AP60466546
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2037758
—
WA
Enumeration date
02/13/2006
Last updated
09/04/2019
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