Individual provider · Type 1 NPI

Paul Robert Smith, REGISTERED NURSE

Case Management Registered Nurse · San Luis Obispo, CA

NPI number 1639675606 Active

Practice location

357 Pismo St Apt F
San Luis Obispo, CA 93401-6141

Call (805) 801-2512 Map

Fax (805) 549-9444

Mailing address

3940-7 Broad St. Box 110
San Luis Obispo, CA 93401

Specialties and licenses

TaxonomyCodeLicense
Case Management Registered Nurse Primary 163WC0400X440363 (CA)

Case Management Registered Nurse: Definition to come...

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About NPI 1639675606

Paul Robert Smith, REGISTERED NURSE's National Provider Identifier is 1639675606, issued on Mar 30, 2018. The primary taxonomy on file is Case Management Registered Nurse (163WC0400X), and the practice location is in San Luis Obispo, CA. The record was last updated on Mar 30, 2018.