Hart, Judy A

Hart, Judy A is an individual health care provider with primary practice located at 1454 E 2Nd St , San Bernardino CA 92408-0118. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Community Health, which is considered as her primary health care specialty. Hart, Judy A can be contacted via phone (909) 382-7100.

Contact Information

Primary practice address
1454 E 2Nd St San Bernardino CA 92408-0118
Phone: (909) 382-7100
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Community Health 363LC1500X NP7766 California

Profile Details

NPI number 1205966579
LBN Legal business name Hart, Judy A
Credentials Certified Family Nurse Practitioner (CFNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 6th, 2007
Last updated Jul 8th, 2007 - about 17 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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Identifiers

StateTypeNumberIssuer
All States NPI 1205966579 NPPES
California Other NP7766 NP LICENSE
California Other 164735 NP LICENSE

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