HAZEL BOLTRON CALLICOTT FNP NPI 1063205912

NPI Information

  • NPI: 1063205912
  • Provider Name: HAZEL BOLTRON CALLICOTT, FNP
  • Classification: Nurse Practitioner - 363LF0000X
  • Specialization: Family
  • Entity Type: Individual
  • Address: 952 TEATRO CIR
    EL CAJON, CA
    ZIP 92021
  • Phone: (619) 718-2856

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NPI Details

Hazel Boltron Callicott, FNP is a family nurse practitioner in El Cajon, CA. Hazel Boltron Callicott, FNP NPI is 1063205912. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

952 TEATRO CIR
EL CAJON, CA
ZIP 92021-183
Phone: (619) 718-2856

The enumeration date for this NPI number is 5/23/2025 and was last updated on 5/23/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363LF0000XNurse PractitionerFamilyNP95034167CALIFORNIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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