Individual
CAMILA BAEZ-SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP-BC
Contact information
Practice address
4440 BROCKTON AVE STE 420, RIVERSIDE, CA 92501-4026
(951) 684-8020
Mailing address
PO BOX 100, WILMINGTON, CA 90748-0100
(310) 944-2426
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
95032238
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2024071284
AGPCNP BC
—
01
—
95032238
AGPCNP APRN
CA
01
—
95142807
BRN RN
CA
Enumeration date
11/19/2024
Last updated
11/19/2024
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