Individual provider · Type 1 NPI
Charlotte Ann Hardesty, APRN
Gerontology Nurse Practitioner · Louisville, KY
NPI number
1104504398
Active
Practice location
4000 Kresge Way
Louisville, KY 40207-4605
Mailing address
4217 Mimosa View Dr
Louisville, KY 40299-5817
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner | 363L00000X | 4006778 (KY) |
| Gerontology Nurse Practitioner Primary | 363LG0600X | 4006778 (KY) |
Gerontology Nurse Practitioner: Definition to come...
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About NPI 1104504398
Charlotte Ann Hardesty, APRN's National Provider Identifier is 1104504398, issued on Jul 7, 2023. The primary taxonomy on file is Gerontology Nurse Practitioner (363LG0600X), and the practice location is in Louisville, KY. The record was last updated on Aug 2, 2023.