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NPI 1972221794

NPI 1972221794 : HEALTHY ME NURSING, INC : SAN DIEGO, CA

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General NPI Number Information
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    NPI Number           |    1972221794
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    Entity Type          |    Organization 
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    Legal Business Name  |    HEALTHY ME NURSING, INC 
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Dates
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    Enumeration Date     |    08/17/2022
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    Last Update Date     |    05/05/2023
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Provider Practice Location Address
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    Address Line         |    3930 4TH AVE STE 300 
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    City                 |    SAN DIEGO
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    State                |    CA
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    Zip                  |    92103-3119
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    Country              |    US
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    Telephone            |    619-320-8711
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    Fax                  |    619-393-0818
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Provider Business Mailing Address
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    Address Line         |    3930 4TH AVE STE 300 
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    City                 |    SAN DIEGO
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    State                |    CA
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    Zip                  |    92103-3119
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    Country              |    US
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    Telephone            |    619-320-8711
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    Fax                  |    619-393-0818
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Authorized Official
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    Title or Position    |    CFO
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    Name                 |     BRYAN  AMARO 
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    Credential           |    NP
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    Telephone            |    559-471-8091
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    261QM0801X
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    Taxonomy Name        |    Mental Health Clinic/Center (Including Community Mental Health Center)
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    License Number       |    
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    License Number State |    
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Taxonomy #2
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    Taxonomy Code        |    363LP0808X
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    Taxonomy Name        |    Psychiatric/Mental Health Nurse Practitioner
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    License Number       |    
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    License Number State |    
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