MEDICARE: MARYANN T HARDESTY ANP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LA2200X	Adult Health Nurse Practitioner	272	ID

General Provider Information

NPI Number	:	1891756193
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MARYANN T HARDESTY ANP

Provider Business Mailing Address
First Line	:	3834 S SUNTREE WAY
Second Line	:
City	:	BOISE
State	:	ID
Zip	:	83706-6906
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	4545 E SHEA BLVD
Second Line	:
City	:	PHOENIX
State	:	AZ
Zip	:	85028-3074
Country	:	US
Telephone Number	:	602-464-5200
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/28/2006
Last Update Date	:	10/21/2010

Similar Medicare Providers

1386638492 — GEORGE J JOUMAS M.A.
Practice Location Address:

4545 E SHEA BLVD , SUITE 112
PHOENIX, AZ
85028-3074

Practice Phone: 602-392-2012
Practice Fax: 602-494-1728

1134117823 — MR. BEN HEDBERG LPC
Practice Location Address:

4545 E SHEA BLVD , SUITE 240
PHOENIX, AZ
85028-3074

Practice Phone: 602-347-8100
Practice Fax: 602-242-0887

1467412148 — DR. LAWRENCE A BENSON DDS
Practice Location Address:

4545 E SHEA BLVD , SUITE #203
PHOENIX, AZ
85028-3074

Practice Phone: 602-996-6540
Practice Fax: 602-494-0793

1457313264 — LESLIE KIM GRAY L.AC
Practice Location Address:

4545 E SHEA BLVD
PHOENIX, AZ
85028-3074

Practice Phone: 480-252-8950
Practice Fax:

1821035254 — DR. KUMARASWAMY SIVAKUMAR M.D.
Practice Location Address:

4545 E SHEA BLVD , STE 175
PHOENIX, AZ
85028-3074

Practice Phone: 480-314-1007
Practice Fax: 480-314-1003

1386654895 — SNY CORPORATION INC
Practice Location Address:

4545 E SHEA BLVD , STE 175
PHOENIX, AZ
85028-3074

Practice Phone: 480-314-1007
Practice Fax: 480-314-1003

Directions to “ MARYANN T HARDESTY ANP” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.