Smith, Amy Pittlick
Smith, Amy Pittlick is an individual health care provider with primary practice located at 2170 South Ave , South Lake Tahoe CA 96150-7026. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Smith, Amy Pittlick can be contacted via phone (530) 539-6620.Contact Information
Primary practice address
2170 South Ave
South Lake Tahoe CA 96150-7026
Phone: (530) 539-6620
Fax: (530) 539-6617
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | APRN001842 | Nevada |
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 13943 | California |
Profile Details
| NPI number | 1013907096 |
|---|---|
| LBN Legal business name | Smith, Amy Pittlick |
| Credentials | Nurse Practitioner (NP) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 21st, 2005 |
| Last updated | Dec 13th, 2018 - about 6 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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