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Wauntesha Hardy, AGPCNP-BC
Gerontology Nurse Practitioner in Lafayette, Indiana
NPI 1518487677

Wauntesha Hardy is a Gerontology Nurse Practitioner based in Greenwood, IN and is specialized in Gerontology. Wauntesha Hardy practices in Lafayette, IN and has the professional credentials of AGPCNP-BC. The NPI Number for Wauntesha Hardy is 1518487677 and holds a License No. 28193111A (Indiana).

The current practice location address for Wauntesha Hardy is 3920 St Francis Way Ste 209, Lafayette, IN and can be reached out via phone at 765-775-2830. You can also correspond with Wauntesha Hardy through the mailing address at 1040 SIERRA DR STE 400, GREENWOOD, IN - 46143-7241 (mailing address contact number: 317-528-4800).

Location: 3920 St Francis Way Ste 209, Lafayette, IN, 46143-7241
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Provider Profile Details
NPI Number
1518487677
Provider Name
Wauntesha Hardy
Credential
AGPCNP-BC
Provider Entity Type
Individual
Gender
Female
Address
3920 St Francis Way Ste 209, Lafayette, IN, 46143-7241
Phone Number
765-775-2830
Fax Number
Provider Enumeration Date
06/20/2017
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
471400463 01 IN MEDICARE
300004440 05 IN
institution
Provider Business Practice Location Address Details
Address
3920 St Francis Way Ste 209
City
State
Zip
47905-4917
Phone Number
765-775-2830
Fax Number
person
Provider Business Mailing Address Details
Address
3920 St Francis Way Ste 209
City
State
Zip
47905-4917
Phone Number
765-775-2830
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Gerontology
Taxonomy
License No.
28193111A (Indiana)
Definition
Definition to come...
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