Provider Demographics
NPI:1447842737
Name:HARTS, JOSEPHINE (NP)
Entity type:Individual
Prefix:MRS
First Name:JOSEPHINE
Middle Name:
Last Name:HARTS
Suffix:
Gender:
Credentials:NP
Other - Prefix:MS
Other - First Name:JOSEPHINE
Other - Middle Name:
Other - Last Name:HARTS
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:NP
Mailing Address - Street 1:PO BOX 786
Mailing Address - Street 2:
Mailing Address - City:BETHEL ISLAND
Mailing Address - State:CA
Mailing Address - Zip Code:94511-0786
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:707-401-1617
Practice Address - Street 1:PO BOX 786
Practice Address - Street 2:
Practice Address - City:BETHEL ISLAND
Practice Address - State:CA
Practice Address - Zip Code:94511-0786
Practice Address - Country:US
Practice Address - Phone:707-567-1674
Practice Address - Fax:707-401-1617
Is Sole Proprietor?:Yes
Enumeration Date:2021-02-08
Last Update Date:2025-04-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA95016958363LF0000X, 363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily