Individual
DEBRA ANN SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RNP
Contact information
Practice address
751 S BASCOM AVE, PEDIATRICS DEPT, SAN JOSE, CA 95128-2604
(408) 885-5000
Mailing address
648 AWHANEE TERRACE, SUNNYVALE, CA 94086
(408) 730-1942
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
RN274714
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
RN274714
—
CA
Enumeration date
09/20/2006
Last updated
07/08/2007
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