Individual
BLAKE HARDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSN, NP-C
Contact information
Practice address
7380 ENGLE RD, MIDDLEBURG HEIGHTS, OH 44130-3429
(440) 239-3438
Mailing address
1735 GLENROSS BLVD, OREGON, OH 43616-3838
(419) 340-9065
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN.381635-
OH
363LF0000X
Family Nurse Practitioner
Primary
APRN.CNP.019609
OH
Other
Enumeration date
06/26/2016
Last updated
10/25/2016
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