Individual
CHARLOTTE ANN HARDESTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
4000 KRESGE WAY, LOUISVILLE, KY 40207-4605
(502) 897-8100
Mailing address
4217 MIMOSA VIEW DR, LOUISVILLE, KY 40299-5817
(502) 553-0988
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
4006778
KY
363LG0600X
Gerontology Nurse Practitioner
Primary
4006778
KY
Other
Enumeration date
07/07/2023
Last updated
08/02/2023
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