BREA TRINITY SMITH PNP NPI 1891156352

NPI Information

NPI: 1891156352
Provider Name: BREA TRINITY SMITH, PNP
Classification: Nurse Practitioner - 363LP0200X
Entity Type: Individual

Specialization: Pediatrics

PECOS Registration: Yes

Address:
700 E GILBERT ST
SAN BERNARDINO, CA
ZIP 92415
Phone: (909) 382-3535
Get Directions

Brea Trinity Smith, PNP is a pediatrics nurse practitioner in San Bernardino, CA. Brea Trinity Smith, PNP NPI is 1891156352. 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:

700 E GILBERT ST
SAN BERNARDINO, CA
ZIP 92415-003
Phone: (909) 382-3535
Fax: (909) 383-3830

The NPI 1891156352 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 3/11/2016 and was last updated on 3/11/2016.

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	363LP0200X	Nurse Practitioner	Pediatrics	761340	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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