Smith, Mary Colleen

Smith, Mary Colleen is an individual health care provider with primary practice located at 4605 N Polk Ave Room 4, Fresno CA 93722-5334. She recently has 3 registered licenses in different health care specialties including Nursing Service Providers / Community Health, Nursing Service Providers / School, Physician Assistants & Advanced Practice Nursing Providers / Family. Nursing Service Providers / Community Health is her primary health care specialty. Smith, Mary Colleen can be contacted via phone (559) 274-4700.

Contact Information

Primary practice address
4605 N Polk Ave Room 4 Fresno CA 93722-5334
Phone: (559) 274-4700
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Community Health 163WC1500X 3524111 California
Nursing Service Providers / School 163WS0200X 3524111 California
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 3524111 California

Profile Details

NPI number 1609086230
LBN Legal business name Smith, Mary Colleen
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 No
Enumeration date May 23rd, 2007
Last updated Jul 8th, 2007 - about 17 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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