Smith, Kathleen Moreau

Smith, Kathleen Moreau is an sole proprietor health care provider with primary practice located at 1200 W Gonzales Rd Ste 300, Oxnard CA 93036-3072. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Smith, Kathleen Moreau can be contacted via phone (805) 983-0691.

Contact Information

Primary practice address
1200 W Gonzales Rd Ste 300 Oxnard CA 93036-3072
Phone: (805) 983-0691
Fax: (805) 983-2026
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X NP11751 California

Profile Details

NPI number 1629080999
LBN Legal business name Smith, Kathleen Moreau
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 13th, 2006
Last updated Jul 7th, 2008 - about 18 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 1629080999 NPPES
California Other ZZZ34679Z BLUE CROSS CALIFORNIA
California Other 110039977 BLUE CROSS CALIFORNIA
California MEDICAID RN247089 BLUE CROSS CALIFORNIA

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