Provider Demographics
NPI:1730693037
Name:HARDY, EMILY CUMMINGS
Entity type:Individual
Prefix:
First Name:EMILY
Middle Name:CUMMINGS
Last Name:HARDY
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1787 48TH AVE
Mailing Address - Street 2:
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94122-3919
Mailing Address - Country:US
Mailing Address - Phone:415-254-5289
Mailing Address - Fax:
Practice Address - Street 1:770 WELCH RD
Practice Address - Street 2:
Practice Address - City:PALO ALTO
Practice Address - State:CA
Practice Address - Zip Code:94304-1511
Practice Address - Country:US
Practice Address - Phone:650-723-5000
Practice Address - Fax:650-723-5000
Is Sole Proprietor?:No
Enumeration Date:2017-11-22
Last Update Date:2022-01-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA235929176B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes176B00000XOther Service ProvidersMidwife