Individual
ELYSE MARIE HARDESTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
700 W LINCOLN TRAIL BLVD, RADCLIFF, KY 40160-2604
(270) 351-3192
(270) 351-5499
Mailing address
700 W LINCOLN TRAIL BLVD, RADCLIFF, KY 40160-2604
(270) 351-3192
(270) 351-5499
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
3012192
KY
Other
Enumeration date
12/19/2018
Last updated
01/14/2019
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