person
Miss Audrey Etta Smith
Primary Care Nurse Practitioner in Studio City, California
NPI 1639653447

Audrey Etta Smith is a Primary Care Nurse Practitioner based in Reseda, CA and is specialized in Primary Care. Audrey Etta Smith practices in Studio City, CA. The NPI Number for Audrey Etta Smith is 1639653447 and holds a License No. 95010044 (California).

The current practice location address for Audrey Etta Smith is 12311 Ventura Blvd, Studio City, CA and can be reached out via phone at 818-762-1167.

Location: 12311 Ventura Blvd, Studio City, CA, 91335-5307
person
Provider Profile Details
NPI Number
1639653447
Provider Name
Audrey Etta Smith
Credential
Provider Entity Type
Individual
Gender
Female
Address
12311 Ventura Blvd, Studio City, CA, 91335-5307
Phone Number
818-762-1167
Fax Number
Provider Enumeration Date
09/18/2018
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
12311 Ventura Blvd
City
State
Zip
91604-2509
Phone Number
818-762-1167
Fax Number
person
Provider Business Mailing Address Details
Address
12311 Ventura Blvd
City
State
Zip
91604-2509
Phone Number
818-762-1167
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Primary Care
Taxonomy
License No.
95010044 (California)
Definition
Definition to come...
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