Individual provider · Type 1 NPI
Mary Colleen Smith, F.N.P.
Community Health Registered Nurse · Fresno, CA
NPI number
1609086230
Active
Practice location
4605 N Polk Ave, Room 4
Fresno, CA 93722-5334
Mailing address
635 E Normal Ave
Fresno, CA 93704-6110
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Community Health Registered Nurse Primary | 163WC1500X | 3524111 (CA) |
| School Registered Nurse | 163WS0200X | 3524111 (CA) |
| Family Nurse Practitioner | 363LF0000X | 3524111 (CA) |
Community Health Registered Nurse: Definition to come...
Another provider at this address
Other community health registered nurse providers in Fresno
About NPI 1609086230
Mary Colleen Smith, F.N.P.'s National Provider Identifier is 1609086230, issued on May 23, 2007. The primary taxonomy on file is Community Health Registered Nurse (163WC1500X), and the practice location is in Fresno, CA. The record was last updated on Sep 11, 2025.