Individual
ANDREA MICHELLE SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN, MS, FNP-C
Contact information
Practice address
4200 FARM HILL BLVD, REDWOOD CITY, CA 94061-1030
(650) 306-3100
Mailing address
90 CEDAR ST, SAN CARLOS, CA 94070-2105
(650) 773-4622
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
95007210
CA
Other
Enumeration date
03/02/2018
Last updated
03/02/2018
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