Judith Lynn Hettig, FNP | |
2328 Maelee Dr, Vista, CA 92084-2508 | |
(916) 747-7063 | |
Not Available |
Full Name | Judith Lynn Hettig |
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Gender | Female |
Speciality | Nurse Practitioner |
Location | 2328 Maelee Dr, Vista, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1396815866 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | Y306210 (California) | Secondary |
363L00000X | Nurse Practitioner | 3439 (California) | Primary |
Entity Name | Family Health Centers Of San Diego, Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1447281936 PECOS PAC ID: 3476446378 Enrollment ID: O20040204000923 |
Mailing Address | Practice Location Address |
---|---|
Judith Lynn Hettig, FNP Po Box 1437, Meadow Vista, CA 95722-1437 Ph: (916) 747-7063 | Judith Lynn Hettig, FNP 2328 Maelee Dr, Vista, CA 92084-2508 Ph: (916) 747-7063 |
Patricia R Holland, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1000 Vale Terrace Dr, Vista, CA 92084 Phone: 760-631-5000 Fax: 760-414-3713 | |
Miss Lorrie Lee York, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1237 Green Oak Rd, Vista, CA 92081 Phone: 760-598-2803 Fax: 760-598-5347 | |
Ingrid Dekkers-o'hare, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1000 Vale Terrace Dr, Vista, CA 92084 Phone: 760-631-5000 | |
Pamela N Kingery, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1000 Vale Terrace Dr, Vista, CA 92084 Phone: 760-407-1220 | |
Gee Yeoun Dugan, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1000 Vale Terrace Dr, Vista, CA 92084 Phone: 760-631-5000 | |
Judy Puryear, CNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2067 W Vista Way, #250, Vista, CA 92083 Phone: 760-724-7171 Fax: 760-941-3986 | |
Rana Safiedine, NP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 326 S Melrose Dr, Vista, CA 92081 Phone: 760-291-6700 |