SUSAN MARIE SMITH RN NPI 1023654555

NPI Information

NPI: 1023654555
Provider Name: SUSAN MARIE SMITH, RN
Classification: Registered Nurse - 163WP0808X
Entity Type: Individual

Specialization: Psychiatric/Mental Health

Address:
1300 W 7TH ST
SAN PEDRO, CA
ZIP 90732
Phone: (310) 241-4022
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Susan Marie Smith, RN is a psychiatric/mental health registered nurse in San Pedro, CA. Susan Marie Smith, RN NPI is 1023654555. 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:

1300 W 7TH ST
SAN PEDRO, CA
ZIP 90732-505
Phone: (310) 241-4022

The enumeration date for this NPI number is 11/19/2019 and was last updated on 11/19/2019.

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
1	163WP0808X	Registered Nurse	Psychiatric/Mental Health	303119	CALIFORNIA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	7255506	OTHER	CALIFORNIA	PROVIDENCE LITTLE COMPANY OF MARY SAN PEDRO

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: 4/28/2024

NPI Synchronization or Removal

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