Organization
TRIVEDA HEALTH
Active
Other names
Elevate Wellness
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. AMY PITTLICK SMITH F.N.P. (FAMILY NURSE PRACTITIONER)
(775) 219-9076
Entity
Organization
Contact information
Practice address
2244 BARTON AVE, SOUTH LAKE TAHOE, CA 96150-3408
(530) 541-9355
Mailing address
2244 BARTON AVE, SOUTH LAKE TAHOE, CA 96150-3408
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
NP13943
CA
Other
Enumeration date
10/03/2014
Last updated
10/03/2014
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