Individual
ANNA R. HARDESTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
2901 SQUALICUM PKWY, BELLINGHAM, WA 98225-1851
(360) 788-6993
(360) 788-6995
Mailing address
PO BOX 5096, BELLINGHAM, WA 98227-5096
(360) 788-6993
(360) 788-6995
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA60313294
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0299769
L&I AND CRIME VICTIMS
WA
01
—
1215288782
TRI-WEST (TRICARE)
WA
05
—
1215288782
—
WA
Enumeration date
09/25/2012
Last updated
09/04/2013
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