Individual provider · Type 1 NPI
Audrey Etta Smith
Primary Care Nurse Practitioner · Studio City, CA
NPI number
1639653447
Active
Practice location
12311 Ventura Blvd
Studio City, CA 91604-2509
Mailing address
18560 Vanowen St Unit 21
Reseda, CA 91335-5307
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Primary Care Nurse Practitioner Primary | 363LP2300X | 95010044 (CA) |
Primary Care Nurse Practitioner: Definition to come...
2 other providers at this address
About NPI 1639653447
Audrey Etta Smith's National Provider Identifier is 1639653447, issued on Sep 18, 2018. The primary taxonomy on file is Primary Care Nurse Practitioner (363LP2300X), and the practice location is in Studio City, CA. The record was last updated on Sep 18, 2018.