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Individual

AMANDA HARDESTY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
3101 BURNET AVE, CINCINNATI, OH 45229-3014
(513) 357-2808
(513) 357-2811
Mailing address
3101 BURNET AVE, CINCINNATI, OH 45229-3014

Taxonomy

Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
393818
OH
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
APRN.CNP.026059
OH

Other

Enumeration date
12/19/2013
Last updated
02/10/2020
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