Individual provider · Type 1 NPI

Charles E. Smith, NURSE PRACTITIONER

Nurse Practitioner · Gardena, CA

NPI number 1316388937 Active

Practice location

15803 S Maple Ave
Gardena, CA 90248-2534

Fax (310) 538-1650

Mailing address

15803 South Maple Ave
Gardena, CA 90248

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000X95005523 (CA)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1316388937

Charles E. Smith, NURSE PRACTITIONER's National Provider Identifier is 1316388937, issued on Jul 11, 2013. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Gardena, CA. The record was last updated on Jul 21, 2022.