Tatiana Nakita Grant Hardy, NP-C | |
2930 Forestville Rd, Raleigh, NC 27616-8774 | |
(919) 235-6550 | |
Not Available |
Full Name | Tatiana Nakita Grant Hardy |
---|---|
Gender | Female |
Speciality | Nurse Practitioner |
Experience | 8 Years |
Location | 2930 Forestville Rd, Raleigh, North Carolina |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1538511753 | NPI | - | NPPES |
1538511753 | Medicaid | NC |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | 5008623 (North Carolina) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Wakemed, Raleigh Campus | Raleigh, NC | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Wake Specialty Physicians Llc | 7416006085 | 153 |
Entity Name | Wake Specialty Physicians Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1942440375 PECOS PAC ID: 7416006085 Enrollment ID: O20090601000520 |
Mailing Address | Practice Location Address |
---|---|
Tatiana Nakita Grant Hardy, NP-C Po Box 602195, Charlotte, NC 28260-2195 Ph: (919) 350-0351 | Tatiana Nakita Grant Hardy, NP-C 2930 Forestville Rd, Raleigh, NC 27616-8774 Ph: (919) 235-6550 |
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