Becky Michelle Hart, FNP
Nurse Practitioner, Family in San Diego, CA. Individual provider (NPI-1).
NPI number1316626344
StatusActive
Last updated in NPPESJul 17, 2023
Details
- NPI
- 1316626344
- Entity type
- Individual (NPI-1)
- Name
- Becky Michelle Hart
- Credential
- FNP
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jul 17, 2023
- Certification date
- Jul 17, 2023
- Last updated
- Jul 17, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LF0000X | Nurse Practitioner, Family | 95025699 | CA | Yes |
Practice location
1501 Imperial AveSan Diego, CA 92101-7638
Phone 619-233-8500
Mailing address
3238 Granada AveSan Diego, CA 92104-4514
Phone 619-379-7043
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