Provider Demographics
NPI:1295515807
Name:SMC NURSING, LLC
Entity type:Organization
Organization Name:SMC NURSING, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:SANDRA
Authorized Official - Middle Name:
Authorized Official - Last Name:CHAMBERLIN
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:650-539-8375
Mailing Address - Street 1:PO BOX 2202
Mailing Address - Street 2:
Mailing Address - City:ORTING
Mailing Address - State:WA
Mailing Address - Zip Code:98360-2202
Mailing Address - Country:US
Mailing Address - Phone:650-539-8375
Mailing Address - Fax:
Practice Address - Street 1:20410 189TH AVENUE CT E
Practice Address - Street 2:
Practice Address - City:ORTING
Practice Address - State:WA
Practice Address - Zip Code:98360-9722
Practice Address - Country:US
Practice Address - Phone:650-539-8575
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-10-02
Last Update Date:2023-10-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes163W00000XNursing Service ProvidersRegistered NurseGroup - Single Specialty