Smith, Angela Beth

Smith, Angela Beth is an sole proprietor health care provider with primary practice located at 1651 Myrtle Ave Ste C , Eureka CA 95501-1495. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / General Practice, Physician Assistants & Advanced Practice Nursing Providers / Adult Health. Physician Assistants & Advanced Practice Nursing Providers / Adult Health is her primary health care specialty. Smith, Angela Beth can be contacted via phone (707) 599-6700.

Contact Information

Primary practice address
1651 Myrtle Ave Ste C Eureka CA 95501-1495
Phone: (707) 599-6700
Fax: (888) 475-8698
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / General Practice 163WG0000X 846580 California
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X 23313 California

Profile Details

NPI number 1023368453
LBN Legal business name Smith, Angela Beth
Credentials Certified Nurse Practitioner (CNP)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 13th, 2012
Last updated Apr 30th, 2024 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1023368453 NPPES
California MEDICAID RN846580

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