Individual
MEGHAN MACKENZIE SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PNP
Contact information
Practice address
1640 NEWPORT BLVD STE 360, COSTA MESA, CA 92627-3786
(949) 515-7337
Mailing address
20061 MARINA LN, HUNTINGTON BEACH, CA 92646-4702
(949) 378-8668
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
95029077
CA
Other
Enumeration date
03/21/2024
Last updated
03/21/2024
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