Provider Demographics
NPI:1831992759
Name:SMITH, HILDA (MSN, PHN, BSN, RN,)
Entity type:Individual
Prefix:
First Name:HILDA
Middle Name:
Last Name:SMITH
Suffix:
Gender:F
Credentials:MSN, PHN, BSN, RN,
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:783 FAIRVIEW ST
Mailing Address - Street 2:
Mailing Address - City:OAKLAND
Mailing Address - State:CA
Mailing Address - Zip Code:94609-1015
Mailing Address - Country:US
Mailing Address - Phone:510-520-9431
Mailing Address - Fax:
Practice Address - Street 1:783 FAIRVIEW ST
Practice Address - Street 2:
Practice Address - City:OAKLAND
Practice Address - State:CA
Practice Address - Zip Code:94609-1015
Practice Address - Country:US
Practice Address - Phone:510-520-9431
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-03-27
Last Update Date:2025-03-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA544708163WC1500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WC1500XNursing Service ProvidersRegistered NurseCommunity Health