Andrea Hardison Tackett in San Luis Obispo - Nuclear Cardiology
Andrea Hardison Tackett - NPI 1215138789
Andrea Hardison Tackett is a Nuclear Cardiology in San Luis Obispo, California. Andrea Hardison Tackett practices all healthcare services and medical treatments related to Nuclear Cardiology. The NPI Number for Andrea Hardison Tackett is 1215138789. The last update date is 2021-06-25.
Andrea Hardison Tackett's current location address is 1941 Johnson Ave, San Luis Obispo, California. You can contact this provider via phone number 8057828844 and fax number 8057828859. The mailing address for Andrea Hardison Tackett is 1941 Johnson Ave, San Luis Obispo, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Andrea Hardison Tackett |
|---|---|
| Address | 1941 Johnson Ave, San Luis Obispo, California |
| Phone Number | 8057828844 |
| Fax Number | 8057828859 |
| Sole Proprietor | N |
| Credentials | MD, FACC |
NPI Number Detail
| NPI Number | 1215138789 |
|---|---|
| Provider Enumeration Date | 2007-05-30 |
| Last Updated Date | 2021-06-25 |
Provider Mailing Address Detail
| Address | 1941 Johnson Ave |
|---|---|
| City | San Luis Obispo |
| State | California (CA) |
| Post Code | 934014154 |
| Phone Number | 8057828844 |
| Fax Number | 8057828859 |
Provider's Primary Taxonomy Detail
| Speciality | Nuclear Cardiology |
|---|---|
| Taxonomy | 207Un0901X |
| Licence No | A116056 |
|
Definition: A nuclear medicine physician who specializes in nuclear cardiology. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| ZZZ28458Z | CA | BLUE SHIELD | |
| P00971250 | CA | RR MEDICARE | |
| GR000068680 | CA | -- |
Post Comment/ Review Below
What is the Andrea Hardison Tackett's unique identification number?
The Andrea Hardison Tackett has been assigned the NPI (National Provider Identifier) Number 1215138789 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you share the physical location details of Andrea Hardison Tackett?
The Andrea Hardison Tackett is situated at 1941 Johnson Ave, in the city of San Luis Obispo, state of CA, with the zip code 934014154.
What is Andrea Hardison Tackett's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Andrea Hardison Tackett's specialized field of practice is Nuclear Cardiology, and the corresponding taxonomy code that categorizes this area of specialization is 207Un0901X.
On what date did Andrea Hardison Tackett receive its 1215138789 assignment from the Centers for Medicare & Medicaid Services?
The Andrea Hardison Tackett was assigned its 1215138789 on 2007-05-30, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the information pertaining to Andrea Hardison Tackett most recently updated or revised?
The details related to Andrea Hardison Tackett, including its address, specialty, and other relevant information, were last updated or revised on 2021-06-25.
NPI Number: 1215930425
Address: 224 W Exchange St, Akron, OH