Provider Demographics
NPI:1770677536
Name:SMITH, BARBARA (NP)
Entity Type:Individual
Prefix:MS
First Name:BARBARA
Middle Name:
Last Name:SMITH
Suffix:
Gender:F
Credentials:NP
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Mailing Address - Street 1:6155 CORNERSTONE CT E
Mailing Address - Street 2:STE 220
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92121-4736
Mailing Address - Country:US
Mailing Address - Phone:858-458-2992
Mailing Address - Fax:858-362-4027
Practice Address - Street 1:6155 CORNERSTONE CT E
Practice Address - Street 2:STE 220
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92121-4736
Practice Address - Country:US
Practice Address - Phone:858-458-2992
Practice Address - Fax:858-362-4027
Is Sole Proprietor?:No
Enumeration Date:2006-10-03
Last Update Date:2014-02-05
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CA4609363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
CANP4609Medicare UPIN