Miss. Audrey Etta Smith
Miss. Audrey Etta Smith is a Nurse Practitioner in Studio City, California. Qualified in 2018, 8 years ago. Practices with Anvar Medical Group, a 7-clinician group and accepts Medicare assignment. Licensed in California.
- Years since qualifying
- 8
- Licensed in
- CA
- In the registry since
- 2018
Practice location Address checks out
12311 Ventura BlvdStudio City, CA 91604-2509
Phone: (818) 762-1167
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Primary Care Nurse Practitioner (primary) | Taxonomy 363LP2300X · Licence 95010044 (CA) |
|---|
Record details
| NPI number | 1639653447 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | September 18, 2018 |
| Last updated in NPPES | September 18, 2018 |
| Mailing address | 18560 Vanowen St Unit 21, Reseda, CA 91335-5307 |
Medicare enrollment
| Medicare specialty | NURSE PRACTITIONER |
|---|---|
| Medical school | OTHER |
| Graduated | 2018 (8 years in practice) |
| Group practice | Anvar Medical Group — 7 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |