TRACI LYNN HARDYMAN


Address: 6500 Excelsior Blvd, Digestive & Endoscopy Center, Suite #4-820, St Louis Park, MN 55426-4702
Phone: 9529933240

TRACI LYNN HARDYMAN (NPI# 1982076659) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1982076659
Entity Type Individual
Full Name TRACI LYNN HARDYMAN
Credential NP
Practice Address 6500 Excelsior Blvd
Digestive & Endoscopy Center, Suite #4-820
St Louis Park
MN 55426-4702
Practice Telephone 9529933240
Mailing Telephone 9529933240
Enumeration Date 2015-10-21
Last Update Date 2015-10-21
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 363LA2200X Nurse Practitioner
Specialization: Adult Health
CNP 4193 MN Physician Assistants & Advanced Practice Nursing Providers
Y 363LG0600X Nurse Practitioner
Specialization: Gerontology
CNP 4193 MN Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 6500 EXCELSIOR BLVD
DIGESTIVE & ENDOSCOPY CENTER, SUITE #4-820
City ST LOUIS PARK
State MN
Zip Code 55426-4702

Providers in the same location

NPI Name Taxonomy Address Enumeration
1861484669 Robert E Haselow Radiology 6500 Excelsior Blvd, Methodist Radiation Therapy, St Louis Park, MN 55426-4702 2005-08-17
1215549381 Katelyn Boys Physical Therapist 6500 Excelsior Blvd, St Louis Park, MN 55426-4702 2020-08-20
1386253466 Christine Harlander Physical Therapist 6500 Excelsior Blvd, St Louis Park, MN 55426-4700 2020-07-24
1063021210 Ian-thomas Campbell-groen Physical Therapist 6500 Excelsior Blvd, St Louis Park, MN 55426-4700 2020-07-23
1619585387 Kelly Faber Physical Therapist 6500 Excelsior Blvd, St Louis Park, MN 55426-4702 2020-07-20
1952938821 Paige Rygg Physical Therapist 6500 Excelsior Blvd, St Louis Park, MN 55426-4702 2020-03-23
1801427406 Brandi Jo St. Mane Nurse Anesthetist, Certified Registered 6500 Excelsior Blvd, St Louis Park, MN 55426-4702 2020-02-01
1811528680 Brian Servey IIi Nurse Anesthetist, Certified Registered 6500 Excelsior Blvd, St Louis Park, MN 55426-4702 2020-01-30
1245873421 Weston Poucher Nurse Anesthetist, Certified Registered 6500 Excelsior Blvd, St Louis Park, MN 55426-4700 2019-10-21
1427609973 Lauren Damrow Registered Nurse 6500 Excelsior Blvd, St Louis Park, MN 55426-4700 2019-09-26
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NPI Name Taxonomy Address Enumeration
1821657545 Big Brain Concussion Recovery & Chiropractic Pa Chiropractor 3313 Republic Ave., St. Louis Park, MN 55426 2019-06-06
1912485095 Daniel Raies Optometrist 8900 Minnesota 7, St Louis Park, MN 55426 2018-08-01
1649756040 Wayside House, Inc. Clinic/Center 1349 Jersey Ave S, St. Louis Park, MN 55426 2018-07-18
1104302884 Superior Caregivers, LLC In Home Supportive Care 1319 Lancaster Ave., St. Louis Park, MN 55426 2018-07-16
1396234266 Caitlin Kwiatkowski Behavior Technician 7010 Mn-7, St.louis Park, MN 55426 2018-05-07
1497244313 Kelly Ann Clancey Behavior Technician 7010 Highway 2, Saint Louis Park, MN 55426 2018-05-07
1770072696 Ashleigh Hakala Behavior Technician 7010 Highway 7 St. Louis Park Mn 55426, St. Louis Park, MN 55426 2018-05-07
1689181521 Glenda Miles Registered Nurse 7316 Cedar Lake Road, Apt 8, St Louis Park, MN 55426 2017-12-31
1174041875 Kristen Webb Physician Assistant 3931 Louisiana Ave S, Suite E-500, St. Louis Park, MN 55426 2017-09-01
1447775549 Belinda Sue Bliss Marriage & Family Therapist 3301 Decatur Lane, Saint Louis Park, MN 55426 2017-08-09
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Taxonomy Information

Taxonomy Code 363LG0600X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Gerontology

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1487659587 Debra Ann Rustad Nurse Practitioner 3850 Park Nicollet Blvd, Park Nicollet Clinic--senior Services-- 3rd Floor, St Louis Park, MN 55416-2527 2005-06-15
1942664024 Emily Samborn Nurse Practitioner 5525 Cedar Lake Rd S, St Louis Park, MN 55416-1420 2016-04-05
1962818021 Sara Gauquie Nurse Practitioner 3850 Park Nicollet Blvd, St Louis Park, MN 55416-2527 2014-07-09
1801176078 Marijane Schroeder Hauer Nurse Practitioner 3850 Park Nicollet Blvd, St Louis Park, MN 55416-2527 2011-08-19
1568777274 Elizabeth Abell Nurse Practitioner 3931 Louisiana Ave S, St Louis Park, MN 55426 2010-08-18
1730342072 Nicole M Larson Nurse Practitioner 3931 Louisiana Ave S, St Louis Park, MN 55426-5000 2008-07-08
1932275880 Jody Lynn Juntunen Nurse Practitioner 3800 Park Nicollet Blvd, St Louis Park, MN 55416-2527 2006-11-24
1285611772 Christa G Beach Nurse Practitioner 3850 Park Nicollet Blvd, St Louis Park, MN 55416-2527 2005-12-27
1952388779 Sherry Wenisch Nurse Practitioner 3850 Park Nicollet Blvd, St Louis Park, MN 55416-2527 2005-12-22
1346226099 Pamela J Garrison Nurse Practitioner 3850 Park Nicollet Blvd, St Louis Park, MN 55416-2527 2005-12-15
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Competitor

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City ST LOUIS PARK
Zip Code 55426

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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