Mia D Hardison, RN
Individual provider Active NPI Addiction (Substance Use Disorder) Registered Nurse · West Milwaukee, WI
NPI 1265315931 · NPPES record last updated Jul 29, 2025
Key facts
- NPI
- 1265315931
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Addiction (Substance Use Disorder) Registered Nurse 163WA0400X
- License
- 158295-30 (WI)
- Practice address
- 1610 Miller Park Way Ste 16001610
West Milwaukee, WI 53214-3604 - Phone
- (414) 672-3801
- Fax
- (414) 672-6026
- NPI assigned
- Jul 29, 2025
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 158295-30 | WI | MD | Addiction (Substance Use Disorder) Registered Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Registered Nurse | 163WA0400X | 158295-30 | WI | Yes |
Addresses
Primary practice location
1610 Miller Park Way Ste 16001610
West Milwaukee, WI 53214-3604
Mailing address
1610 Miller Park Way Ste 16001610
West Milwaukee, WI 53214-3604
Phone (414) 672-3801
Other providers in West Milwaukee, WI
- Michael Gremban
- Trista M Grudzinski
- Audra L Hale
- Kourtney K Haller
- Hanger Prosthetics & Orthotics East Inc
- Joshua Hassan
- Jalyn N Herd
- Alter Faye Hughes
- Regina Hunter
- Ami Inoue
All providers in West Milwaukee, WI · Addiction (Substance Use Disorder) Registered Nurse in Wisconsin
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 29, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.