Mallory Lynne Smith
Nurse Practitioner - Critical Care Medicine
1485 River Park Dr Ste 200
Sacramento
, California 95815-4530
Mallory Lynne Smith
Nurse Practitioner - Critical Care Medicine
1485 River Park Dr Ste 200
Sacramento
, California 95815-4530
(415) 353-1990
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About
Features
Specialties
- Nurse Practitioner - Critical Care Medicine
Languages spoken
- English
Location
First Address
- Mallory Lynne Smith
- 505 Parnassus Ave M-917
- San Francisco, CA
- Zip : 94143
- Fax : (415) 353-1990
- Phone : (415) 353-1116
Second Address
- Mallory Lynne Smith
- 1485 River Park Dr Ste 200
- Sacramento, CA
- Zip : 95815-4530
- Fax : (916) 669-4100
- Phone : (916) 325-1040
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 363LC0200X | Nurse Practitioner - Critical Care Medicine | 95014580 | CA |
National Provider Identifier
| NPI | 1609334630 |
|---|---|
| Provider Name | Mallory Lynne Smith |
| First Address | San Francisco, CA 94143 |
| Second Address | Sacramento, CA 95815-4530 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 08/03/2019 |
| Last Update Date | 13/01/2022 |
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.