Smith, Prudence Ellen

Smith, Prudence Ellen is an individual health care provider with primary practice located at 4290 Polk Ave , San Diego CA 92105-1524. She recently has only one registered license in Nursing Service Providers / Registered Nurse, which is considered as her primary health care specialty. Smith, Prudence Ellen can be contacted via phone (619) 563-0507.

Contact Information

Primary practice address
4290 Polk Ave San Diego CA 92105-1524
Fax: (619) 563-0015
Website:

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X RN501591 California

Profile Details

NPI number 1801878533
LBN Legal business name Smith, Prudence Ellen
Credentials Registered Nurse (RN)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 17th, 2005
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.

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