Provider Demographics
NPI:1073295325
Name:LISA HARDY, APRN, PLLC
Entity type:Organization
Organization Name:LISA HARDY, APRN, PLLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:LISA
Authorized Official - Middle Name:L
Authorized Official - Last Name:HARDY
Authorized Official - Suffix:
Authorized Official - Credentials:APRN
Authorized Official - Phone:802-424-9268
Mailing Address - Street 1:183 TALCOTT RD STE 206
Mailing Address - Street 2:
Mailing Address - City:WILLISTON
Mailing Address - State:VT
Mailing Address - Zip Code:05495-2075
Mailing Address - Country:US
Mailing Address - Phone:802-424-9268
Mailing Address - Fax:802-277-7299
Practice Address - Street 1:183 TALCOTT RD STE 206
Practice Address - Street 2:
Practice Address - City:WILLISTON
Practice Address - State:VT
Practice Address - Zip Code:05495-2075
Practice Address - Country:US
Practice Address - Phone:802-424-9268
Practice Address - Fax:802-277-7299
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-08-07
Last Update Date:2025-07-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Single Specialty