Smith, Debra Ann
Smith, Debra Ann is an individual health care provider with primary practice located at 751 S Bascom Ave Pediatrics Dept, San Jose CA 95128-2604. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as her primary health care specialty. Smith, Debra Ann can be contacted via phone (408) 885-5000.Contact Information
Primary practice address
751 S Bascom Ave Pediatrics Dept
San Jose CA 95128-2604
Phone: (408) 885-5000
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Pediatrics | 363LP0200X | RN274714 | California |
Profile Details
| NPI number | 1467559898 |
|---|---|
| LBN Legal business name | Smith, Debra Ann |
| Credentials | Registered Nurse Practitioner (RNP) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 20th, 2006 |
| Last updated | Jul 8th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1467559898 | NPPES |
| California | MEDICAID | RN274714 |
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