Individual
DIANA LOUISE HARDESTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
2600 CLARENDON RD, SEDALIA, MO 65301-6712
(660) 473-0157
Mailing address
2600 CLARENDON RD, SEDALIA, MO 65301-6712
(660) 473-0157
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
53-78437-112
KS
Other
Enumeration date
03/06/2019
Last updated
03/06/2019
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