# ANNA R. HARDESTY

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1215288782
- **Gender:** F
- **Credential:** PA-C

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363A00000X | Physician Assistant | PA60313294 | WA | Yes |

## Other

- **Enumeration date:** 09/25/2012
- **Last updated:** 09/04/2013

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 0299769 | L&I AND CRIME VICTIMS | WA |
| 01 | — | 1215288782 | TRI-WEST (TRICARE) | WA |
| 05 | — | 1215288782 | — | WA |