Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Traci Lynn Hardyman, NP

Individual provider Adult Health Nurse Practitioner · NPI 1982076659

Traci Lynn Hardyman, NP is a Nurse Practitioner in St Louis Park, Minnesota. Qualified in 2015, 11 years ago. Practices with Park Nicollet Clinic, a 1,773-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Minnesota.

Years since qualifying
11
Licensed in
MN
In the registry since
2015
Specialties on file
2
What do these letters mean?
NP — Nurse Practitioner
An advanced practice nurse who can diagnose, treat and in most states prescribe.

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Practice location Address checks out

6500 Excelsior Blvd Digestive & Endoscopy Ctr Ste #4-820
St Louis Park, MN 55426-4702
Phone: (952) 993-3240
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Gerontology Nurse Practitioner (primary) Taxonomy 363LG0600X · Licence CNP 4193 (MN)
Adult Health Nurse Practitioner Taxonomy 363LA2200X · Licence CNP 4193 (MN)

Record details

NPI number1982076659
Entity typeIndividual (Type 1)
GenderFemale
Credentials NP
Sole proprietorNo
NPI enumeratedOctober 21, 2015
Last updated in NPPESOctober 21, 2015

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Group practice Park Nicollet Clinic — 1773 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in St Louis Park