Healthcare Provider Details

I. General information

NPI: 1033036447
Provider Name (Legal Business Name): TRISHA ELAINE SMITH LVN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/06/2026
Last Update Date: 07/06/2026
Certification Date: 07/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

340 E YOSEMITE AVE
MERCED CA
95340-9167
US

IV. Provider business mailing address

35 W 19TH ST
MERCED CA
95340-4909
US

V. Phone/Fax

Practice location:
  • Phone: 559-683-5300
  • Fax:
Mailing address:
  • Phone: 559-225-6100
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code164W00000X
TaxonomyLicensed Practical Nurse
License Number252548
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: