Individual
MRS. LATISHA ANN STEWART SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NURSE PRACTTIONER
Contact information
Practice address
14445 OLIVE VIEW DR, SYLMAR, CA 91342-1437
(818) 364-3163
(818) 364-3383
Mailing address
1950 MENTONE AVE, PASADENA, CA 91103-1429
(626) 797-9574
(626) 797-9558
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
370062
CA
363LX0001X
Obstetrics & Gynecology Nurse Practitioner
Primary
370062
CA
Other
Enumeration date
02/14/2007
Last updated
09/11/2025
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