Angela Beth Smith
Nurse Practitioner - Adult Health
2828 Oneil Ln
Eureka
, California 95503-4870
Angela Beth Smith
Nurse Practitioner - Adult Health
2828 Oneil Ln
Eureka
, California 95503-4870
(707) 886-8016
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About
Features
Specialties
- Nurse Practitioner - Adult Health
Languages spoken
- English
Location
First Address
- Angela Beth Smith
- Po Box 7310
- Eureka, CA
- Zip : 95502-7310
- Fax : (707) 886-8016
- Phone : (707) 599-6700
Second Address
- Angela Beth Smith
- 2828 Oneil Ln
- Eureka, CA
- Zip : 95503-4870
- Fax : (707) 886-8016
- Phone : (707) 599-6700
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 363LA2200X | Nurse Practitioner - Adult Health | 23313 | CA |
National Provider Identifier
| NPI | 1023368453 |
|---|---|
| Provider Name | Angela Beth Smith |
| First Address | Eureka, CA 95502-7310 |
| Second Address | Eureka, CA 95503-4870 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 13/09/2012 |
| Last Update Date | 29/07/2016 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| RN846580 | (05) | CA |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.