location
search-icon
person
Andrea Hardison Tackett, MD,FACC
Nuclear Cardiology Physician in San Luis Obispo, California
NPI 1215138789

Andrea Hardison Tackett is a Nuclear Cardiology Physician based in San Luis Obispo, CA and is specialized in Nuclear Cardiology. Andrea Hardison Tackett practices in San Luis Obispo, CA and has the professional credentials of MD,FACC. The NPI Number for Andrea Hardison Tackett is 1215138789 and holds a License No. A116056 (California).

The current practice location address for Andrea Hardison Tackett is 1941 Johnson Ave, San Luis Obispo, CA and can be reached out via phone at 805-782-8844 and via fax at 805-782-8859.

Location: 1941 Johnson Ave, San Luis Obispo, CA, 93401-4154
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1215138789
Provider Name
Andrea Hardison Tackett
Credential
MD,FACC
Provider Entity Type
Individual
Gender
Female
Address
1941 Johnson Ave, San Luis Obispo, CA, 93401-4154
Phone Number
805-782-8844
Fax Number
805-782-8859
Provider Enumeration Date
05/30/2007
Last Update Date
03/09/2024
tick
Provider's Legacy Identifiers
Identifier Type State Issuer
ZZZ28458Z 01 CA BLUE SHIELD
P00971250 01 CA RR MEDICARE
GR000068680 05 CA
institution
Provider Business Practice Location Address Details
Address
1941 Johnson Ave
City
San Luis Obispo
State
California
Zip
93401-4154
Phone Number
805-782-8844
Fax Number
805-782-8859
person
Provider Business Mailing Address Details
Address
1941 Johnson Ave
City
San Luis Obispo
State
California
Zip
93401-4154
Phone Number
805-782-8844
Fax Number
805-782-8859
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Internal Medicine
Speciality
Cardiovascular Disease
Taxonomy
207RC0000X
License No.
A116056 (California)
Definition
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Nuclear Medicine
Speciality
Nuclear Cardiology
Taxonomy
207UN0901X
License No.
A116056 (California)
Definition
A nuclear medicine physician who specializes in nuclear cardiology.
semi-verified symbol
Badge

Use the following badge on your website to showcase your NPI number and verified status. In a field with over 8 million healthcare providers in the United States, it is important to establish your identity clearly. Displaying this badge signifies that your information is both accurate and up-to-date.