Individual provider · Type 1 NPI
Theresa Adele Smith, N.P.
Psychiatric/Mental Health Nurse Practitioner · Lakewood, CA
NPI number
1306115332
Active
Practice location
3300 E South St, Suite #: 102
Lakewood, CA 90805-4549
Fax (562) 630-3052
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | NP#10742 (CA) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
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About NPI 1306115332
Theresa Adele Smith, N.P.'s National Provider Identifier is 1306115332, issued on Dec 20, 2011. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Lakewood, CA. The record was last updated on Dec 20, 2011.