Hardesty, Glenn A

Hardesty, Glenn A is an sole proprietor health care provider with primary practice located at 383 Alpine Dr , Winter Haven FL 33881-9557. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as his primary health care specialty. Hardesty, Glenn A can be contacted via phone (863) 221-3718.

Contact Information

Primary practice address
383 Alpine Dr Winter Haven FL 33881-9557
Phone: (863) 221-3718
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X ARNP9241242 Florida

Profile Details

NPI number 1023013802
LBN Legal business name Hardesty, Glenn A
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 17th, 2005
Last updated Jun 6th, 2014 - about 10 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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