Individual provider · Type 1 NPI

Maryann T. Hardesty, ANP

Adult Health Nurse Practitioner · Phoenix, AZ

NPI number 1891756193 Active

Practice location

4545 E Shea Blvd
Phoenix, AZ 85028-3074

Mailing address

3834 S Suntree Way
Boise, ID 83706-6906

Specialties and licenses

TaxonomyCodeLicense
Adult Health Nurse Practitioner Primary 363LA2200X272 (ID)

Adult Health Nurse Practitioner: Definition to come...

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About NPI 1891756193

Maryann T. Hardesty, ANP's National Provider Identifier is 1891756193, issued on Mar 28, 2006. The primary taxonomy on file is Adult Health Nurse Practitioner (363LA2200X), and the practice location is in Phoenix, AZ. The record was last updated on Oct 21, 2010.