Individual
MICHELLE HARDESTY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FAMILY NURSE PRACTIT
Contact information
Practice address
PO BOX 1626, SNOWFLAKE, AZ 85937-1626
(928) 243-7157
Mailing address
PO BOX 1626, SNOWFLAKE, AZ 85937-1626
(928) 243-7157
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
TAP3815
AZ
363LF0000X
Family Nurse Practitioner
Primary
AP3815
AZ
Other
Enumeration date
10/13/2010
Last updated
06/26/2024
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