Individual provider · Type 1 NPI

Randell Paige Smith, FNP-BC

Family Nurse Practitioner · San Diego, CA

NPI number 1144640293 Active

Practice location

5644 Mission Center Rd
San Diego, CA 92108-4328

Mailing address

1010 1st St SE, Ste 110
Bandon, OR 97411-9301

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner 363LF0000X5720 (CT)
Family Nurse Practitioner 363LF0000X95002389 (CA)
Family Nurse Practitioner Primary 363LF0000X201602750NP-PP (OR)

Family Nurse Practitioner: Definition to come...

5 other providers at this address

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About NPI 1144640293

Randell Paige Smith, FNP-BC's National Provider Identifier is 1144640293, issued on Apr 16, 2014. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in San Diego, CA. The record was last updated on Jan 2, 2018.