Provider Demographics
NPI:1528876950
Name:ANACORTES HEALTH AND AESTHETICS, PLLC
Entity type:Organization
Organization Name:ANACORTES HEALTH AND AESTHETICS, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEDICAL DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:ANDREA
Authorized Official - Middle Name:
Authorized Official - Last Name:HARDESTY
Authorized Official - Suffix:
Authorized Official - Credentials:ARNP
Authorized Official - Phone:369-209-3009
Mailing Address - Street 1:301 COMMERCIAL AVE
Mailing Address - Street 2:
Mailing Address - City:ANACORTES
Mailing Address - State:WA
Mailing Address - Zip Code:98221-1516
Mailing Address - Country:US
Mailing Address - Phone:360-209-3009
Mailing Address - Fax:360-209-8887
Practice Address - Street 1:301 COMMERCIAL AVE
Practice Address - Street 2:
Practice Address - City:ANACORTES
Practice Address - State:WA
Practice Address - Zip Code:98221-1516
Practice Address - Country:US
Practice Address - Phone:360-209-3009
Practice Address - Fax:360-209-8887
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-12-18
Last Update Date:2024-12-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center