Individual
SHANNON MICHELLE HART
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
10170 HUENNEKENS ST, SAN DIEGO, CA 92121-2964
(858) 678-2049
(858) 678-2049
Mailing address
10170 HUENNEKENS ST, SAN DIEGO, CA 92121-2964
(858) 678-2049
(858) 678-2049
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
95205752
CA
Other
Enumeration date
01/30/2026
Last updated
01/30/2026
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