Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 363LA2100X | Nurse Practitioner - Acute Care | AP60249848 | WA |
Y | 363LA2100X | Nurse Practitioner - Acute Care | NP95003463 | CA |
N | 363LA2200X | Nurse Practitioner - Adult Health | NP95003463 | CA |
N | 363LC0200X | Nurse Practitioner - Critical Care Medicine | NP95003463 | CA |
NPI | 1205111069 |
---|---|
Provider Name | Genevieve Faye Smith |
First Address | Fresno, CA 93721-1431 |
Second Address | Fresno, CA 93720-1562 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 12/10/2011 |
Last Update Date | 28/04/2016 |