Provider Demographics
NPI:1730325309
Name:HARDWICK, CARY KRISTEN (NP)
Entity type:Individual
Prefix:MS
First Name:CARY
Middle Name:KRISTEN
Last Name:HARDWICK
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7 GREENFIELD RD
Mailing Address - Street 2:
Mailing Address - City:TURNERS FALLS
Mailing Address - State:MA
Mailing Address - Zip Code:01376-2506
Mailing Address - Country:US
Mailing Address - Phone:413-863-5086
Mailing Address - Fax:
Practice Address - Street 1:ONE BMC PLACE, DOWLING N, RM. 5108
Practice Address - Street 2:BOSTON COMMUNITY MEDICAL GROUP
Practice Address - City:BOSTON
Practice Address - State:MA
Practice Address - Zip Code:02118-0000
Practice Address - Country:US
Practice Address - Phone:617-638-7015
Practice Address - Fax:617-638-7075
Is Sole Proprietor?:No
Enumeration Date:2009-01-01
Last Update Date:2014-05-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MARN239625363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner