Amy Pittlick Smith NP

NPI 1013907096 - Nurse Practitioner - 363LF0000X

NPI Details
NPI 1013907096
Gender Female
Enumeration Date 10/21/2005
Last Updated 09/03/2015
Entity Type Individual
Active Over 11 years ago
Practice Location
155 HWY 50
STATELINE NV, 89449, US
Phone (775) 589-8900
Fax (775) 588-7110
Business Location
1111 EMERALD BAY RD
SOUTH LAKE TAHOE CA, 96150-6207, US
Phone (530) 543-5659
Fax
Toxanomy
Taxonomy Code 363LF0000X
License State California
License Number 13943
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According to our database, Amy Pittlick Smith NP NPI is 1013907096, taxonomy code is 363LF0000X and license number is 13943, license state is located at California. Amy Pittlick Smith NP physically located at 155 Hwy 50, Stateline NV, 89449. NPI Number Amy Pittlick Smith NP has the Individual type.

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1013907096 NPI number is provided on an as is basis without warranty of any kind. 1013907096 is maintained by the National Plan & Provider Enumeration System. The contents of Amy Pittlick Smith NP are for informational purposes only.