Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
ANDREA HARDISON TACKETT, MD, FACC
ActiveANDREA HARDISON TACKETT, MD, FACC is a Cardiovascular Disease healthcare provider located in SAN LUIS OBISPO, California. NPI 1215138789 is currently active in the NPPES registry. Verify at CMS.
Cardiovascular Disease · SAN LUIS OBISPO, CA
Registration Details
- NPI Number
- 1215138789
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- May 30, 2007 (19.239866591802 yrs)
- Last Updated
- Jun 25, 2021
- Licenses
-
A116056 (CA)A116056 (CA)
Practice Information
- Address
-
1941 JOHNSON AVESTE 101SAN LUIS OBISPO, CA, 934014154Browse CA providers · Browse ZIP 93401
- Phone
- 8057828844
- Fax
- 8057828859
- Primary Specialty
-
Cardiovascular Disease
207RC0000X
- Additional Specialty
- Nuclear Cardiology
Other Cardiovascular Disease Providers in SAN LUIS OBISPO, CA
| Name | Credential | NPI |
|---|---|---|
| GHOLAMREZA FIROUZ POURZIA | M.D. | 1487635546 |
| STEVEN C PONTIUS | M.D., F.A.C.C. | 1750360350 |
| DAVID M PURO | MD, FACC | 1245290741 |
| LORIANNA FLETCHER | MD, FACC | 1497715023 |
| JOEL A LARDIZABAL | M.D. | 1508960527 |
| THINN HLAING | M.D. | 1699976993 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.