Individual
ANGELA BETH SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
1651 MYRTLE AVE STE C, EUREKA, CA 95501-1495
(707) 599-6700
(888) 475-8698
Mailing address
1651 MYRTLE AVE STE C, EUREKA, CA 95501-1495
(707) 599-6700
(888) 475-8698
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
846580
CA
363LA2200X
Adult Health Nurse Practitioner
Primary
23313
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
RN846580
—
CA
Enumeration date
09/13/2012
Last updated
04/30/2024
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