Smith, Cathy Ann

Smith, Cathy Ann is an individual health care provider with primary practice located at 700 S 2Nd St Room 301, Mount Vernon WA 98273-3879. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Adult Health, which is considered as her primary health care specialty. Smith, Cathy Ann can be contacted via phone (360) 336-9380.

Contact Information

Primary practice address
700 S 2Nd St Room 301 Mount Vernon WA 98273-3879
Fax: (360) 336-9401
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X AP30001695 Washington

Profile Details

NPI number 1114049723
LBN Legal business name Smith, Cathy Ann
Credentials ARNP
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 4th, 2007
Last updated Jul 9th, 2007 - 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 1114049723 NPPES
Washington MEDICAID 83-065-11

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