Individual
MS. MARY ANN HONEYCUTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RNP-C
Contact information
Practice address
7293 DUMOSA AVE STE 8, YUCCA VALLEY, CA 92284-3700
(760) 369-7166
(760) 369-7167
Mailing address
7293 DUMOSA AVE STE 8, YUCCA VALLEY, CA 92284-3700
(760) 369-7166
(760) 369-7167
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
207997
CA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
RN207997
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
207997
REGISTERED NURSE PRACTITI
CA
Enumeration date
05/24/2005
Last updated
01/11/2016
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