Doctor Name: | ANGELA BETH SMITH |
NPI Number: | 1023368453 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | CNP |
License Number: | 846580 |
Business Practice Address: | 3915 Davis Ct Eureka, CA - 955036085 |
Business Phone Number: | 7408194007 |
Business Fax Number: | |
Mailing Address: | 3915 Davis Ct, EUREKA |
State: | CA |
Postal Code: | 955036085 |
Phone Number: | 7408194007 |
Fax Number: | |
NPI Enumeration Date: | 09/13/2012 |
NPI Last Update Date: | 11/03/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 163WG0000X |
License Number: | 846580 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | CA |
Taxonomy Type: | Nursing Service Providers |
Taxonomy Classification: | Registered Nurse |
Taxonomy Specialization: | General Practice |
Taxonomy Definition: |