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NPI Code Detail

MEDICARE: MS. SERENA CHRISTINE ARTS NP

MEDICARE: MS. SERENA CHRISTINE ARTS NP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LA2200XAdult Health Nurse Practitioner10769CA

General Provider Information

NPI Number : 1801881552
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. SERENA CHRISTINE ARTS NP
Provider Business Mailing Address
First Line : 1942 DENVER ST
Second Line :
City : SAN DIEGO
State : CA
Zip : 92110-3423
Country : US
Telephone Number : 619-276-8481
Fax Number :
Provider Business Practice Location Address
First Line : 5555 GROSSMONT CENTER DR
Second Line :
City : LA MESA
State : CA
Zip : 91942-3019
Country : US
Telephone Number : 619-740-4160
Fax Number : 619-740-4380
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/19/2005
Last Update Date : 07/09/2007

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