Individual
JUDITH LYNN HETTIG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
2328 MAELEE DR, VISTA, CA 92084-2508
(916) 747-7063
Mailing address
PO BOX 1437, MEADOW VISTA, CA 95722-1437
(916) 747-7063
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
3439
CA
363LF0000X
Family Nurse Practitioner
Y306210
CA
Other
Enumeration date
11/09/2006
Last updated
04/09/2024
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