Individual
MARY HARDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ACNP
Contact information
Practice address
1215 LEE ST, CHARLOTTESVILLE, VA 22908-2981
(434) 243-4288
(434) 243-7310
Mailing address
PO BOX 9007, CHARLOTTESVILLE, VA 22906-9007
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
0024172054
VA
363LA2100X
Acute Care Nurse Practitioner
Primary
0024172054
VA
Other
Enumeration date
12/31/2014
Last updated
04/27/2023
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