Provider Demographics
NPI:1548313430
Name:HARDY, GAIL (ARNP)
Entity type:Individual
Prefix:
First Name:GAIL
Middle Name:
Last Name:HARDY
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3142 NORTHSIDE DR
Mailing Address - Street 2:SUITE 101
Mailing Address - City:KEY WEST
Mailing Address - State:FL
Mailing Address - Zip Code:33040-8012
Mailing Address - Country:US
Mailing Address - Phone:305-294-4004
Mailing Address - Fax:305-294-6043
Practice Address - Street 1:3142 NORTHSIDE DR
Practice Address - Street 2:SUITE 101
Practice Address - City:KEY WEST
Practice Address - State:FL
Practice Address - Zip Code:33040-8012
Practice Address - Country:US
Practice Address - Phone:305-294-4004
Practice Address - Fax:305-294-6043
Is Sole Proprietor?:No
Enumeration Date:2007-01-22
Last Update Date:2009-08-17
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
FL9292028363LW0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LW0102XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerWomen's Health