Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RE0101X | Endocrinologist (Diabetes Doctor) | MD070265L | PA |
NPI | 1093703803 |
---|---|
Provider Name | Viviana E Hardy |
First Address | Lancaster, PA 17601-2644 |
Second Address | Lancaster, PA 17601-2644 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 06/10/2005 |
Last Update Date | 18/08/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0019038930001 | (05) | PA |
107748 4699 | GEISINGER HEALTH PLAN (01) | PA |
1086488 | AETNA HMO (01) | |
1398225 | HIGHMARK BLUE SHIELD (01) | PA |
1527198 | GATEWAY HEALTH PLAN (01) | PA |
20019291 | AMERIHEALTH MERCY HEALTH (01) | PA |
50008360 | CAPITAL BLUE CROSS (01) | PA |
7046651 | AETNA NON-HMO (01) | PA |
H67527 | (02) | PA |
H67527 | HEALTH ASSURANCE (01) | PA |