Provider Demographics
NPI:1083424980
Name:HARDY, SHINIQUWA ALLISS
Entity type:Individual
Prefix:
First Name:SHINIQUWA
Middle Name:ALLISS
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 1:11757 E 25TH AVE UNIT 7306
Mailing Address - Street 2:
Mailing Address - City:AURORA
Mailing Address - State:CO
Mailing Address - Zip Code:80010-1298
Mailing Address - Country:US
Mailing Address - Phone:303-907-6105
Mailing Address - Fax:
Practice Address - Street 1:11757 E 25TH AVE UNIT 7306
Practice Address - Street 2:
Practice Address - City:AURORA
Practice Address - State:CO
Practice Address - Zip Code:80010-1298
Practice Address - Country:US
Practice Address - Phone:303-907-6105
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-01-13
Last Update Date:2025-01-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula