Provider Demographics
NPI:1295749950
Name:HECHT, AMY SUSAN (RN, MSN, FNP)
Entity type:Individual
Prefix:MS
First Name:AMY
Middle Name:SUSAN
Last Name:HECHT
Suffix:
Gender:F
Credentials:RN, MSN, FNP
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:4258 BLACKTON DR
Mailing Address - Street 2:
Mailing Address - City:LA MESA
Mailing Address - State:CA
Mailing Address - Zip Code:91941-7511
Mailing Address - Country:US
Mailing Address - Phone:619-303-1509
Mailing Address - Fax:
Practice Address - Street 1:8810 RIO SAN DIEGO DRIVE
Practice Address - Street 2:VA MISSION VALLEY OUTPATIENT CLINIC
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92108
Practice Address - Country:US
Practice Address - Phone:619-400-5127
Practice Address - Fax:619-400-5153
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-28
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CA356403363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily