MS. THERESA ADELE SMITH N.P. NPI 1306115332

NPI Information

NPI: 1306115332
Provider Name: MS. THERESA ADELE SMITH, N.P.
Classification: Nurse Practitioner - 363LP0808X
Entity Type: Individual

Specialization: Psychiatric/Mental Health

PECOS Registration: Yes

Address:
3300 E SOUTH ST
SUITE #: 102
LAKEWOOD, CA
ZIP 90805
Phone: (562) 232-1144
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MS. Theresa Adele Smith, N.P. is a psychiatric/mental health nurse practitioner in Lakewood, CA. MS. Theresa Adele Smith, N.P. NPI is 1306115332. 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:

3300 E SOUTH ST
SUITE #: 102
LAKEWOOD, CA
ZIP 90805-549
Phone: (562) 232-1144
Fax: (562) 630-3052

The NPI 1306115332 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Power Mobility Devices.

The enumeration date for this NPI number is 12/20/2011 and was last updated on 12/20/2011.

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	363LP0808X	Nurse Practitioner	Psychiatric/Mental Health	NP#10742	CALIFORNIA	Yes

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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