Individual
MR. GLENN A HARDESTY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
383 ALPINE DR, WINTER HAVEN, FL 33881-9557
(863) 221-3718
Mailing address
383 ALPINE DR, WINTER HAVEN, FL 33881-9557
(863) 221-1813
(863) 294-5124
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
ARNP9241242
FL
Other
Enumeration date
06/17/2005
Last updated
06/06/2014
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