Individual
LORRAINE MARIE HARDY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSN RN AGNP-BC
Contact information
Practice address
375 WAMPANOAG TRL STE 102, RIVERSIDE, RI 02915-2233
(401) 649-4010
(401) 649-4011
Mailing address
110 ELM STREET, PROVIDENCE, RI 02903
(877) 771-7401
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN252429
MA
363LG0600X
Gerontology Nurse Practitioner
Primary
APRN01720
RI
Other
Enumeration date
07/27/2017
Last updated
03/17/2018
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