Smith, Audrey Etta

Smith, Audrey Etta is an individual health care provider with primary practice located at 12311 Ventura Blvd , Studio City CA 91604-2509. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Primary Care, which is considered as her primary health care specialty. Smith, Audrey Etta can be contacted via phone (818) 762-1167.

Contact Information

Primary practice address
12311 Ventura Blvd Studio City CA 91604-2509
Phone: (818) 762-1167
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Primary Care 363LP2300X 95010044 California

Profile Details

NPI number 1639653447
LBN Legal business name Smith, Audrey Etta
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 18th, 2018
Last updated Sep 18th, 2018 - about 8 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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