Individual
MR. JOSEPH C. SMIHULA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
3555 ROUND BARN CIR, SANTA ROSA, CA 95403-1757
(707) 528-1050
(707) 525-3874
Mailing address
407 W COUNTRY CLUB RD, ROSWELL, NM 88201-5209
(575) 627-9110
(575) 623-2191
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
16859
CA
363LA2200X
Adult Health Nurse Practitioner
NP699679
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
699678
RN LICENSE
CA
01
—
699679
NP LICENSE
CA
Enumeration date
09/23/2006
Last updated
04/28/2021
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