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Mary Jo Hardy, CRNA

Nurse Anesthetist, Certified Registered in Albuquerque, NM. Individual provider (NPI-1).

NPI number1285642538
StatusActive
Last updated in NPPESJul 8, 2007

Details

NPI
1285642538
Entity type
Individual (NPI-1)
Name
Mary Jo Hardy
Credential
CRNA
Sex
Female
Sole proprietor
Yes
Enumeration date
Aug 3, 2006
Last updated
Jul 8, 2007

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
367500000X Nurse Anesthetist, Certified Registered4704195655MIYes

Practice location

1501 San Pedro Dr Se
Albuquerque, NM 87108-5153

Phone 505-265-1711

Mailing address

4905 Tally Ho Ave Nw
Albuquerque, NM 87114-5074

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