Individual provider · Type 1 NPI
Melissa Catherine Smith, NP
Pediatric Nurse Practitioner · Santa Rosa, CA
NPI number
1992096093
Active
Practice location
962 Sebastapol Road
Santa Rosa, CA 95407-6829
Mailing address
1701 Funston Ave
San Francisco, CA 94122-4629
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatric Nurse Practitioner Primary | 363LP0200X | 20624 (CA) |
Pediatric Nurse Practitioner: Definition to come...
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About NPI 1992096093
Melissa Catherine Smith, NP's National Provider Identifier is 1992096093, issued on Apr 22, 2011. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Santa Rosa, CA. The record was last updated on Apr 22, 2011.