Individual provider · Type 1 NPI

Tina Marie Smith

Licensed Vocational Nurse · San Bernardino, CA

NPI number 1700763778 Active

Practice location

290 N D St Ste 700
San Bernardino, CA 92401-1705

Call (909) 963-5355 Map

Specialties and licenses

TaxonomyCodeLicense
Licensed Vocational Nurse Primary 164X00000X722712 (CA)

Licensed Vocational Nurse: An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. [An alternate term for licensed practical nurse arising from difference in occupational titles between states and post-high school training programs and institutions.] Requirements for education, experience, licensure, and job re…

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About NPI 1700763778

Tina Marie Smith's National Provider Identifier is 1700763778, issued on Aug 20, 2025. The primary taxonomy on file is Licensed Vocational Nurse (164X00000X), and the practice location is in San Bernardino, CA. The record was last updated on Aug 20, 2025.