Healthcare Provider Details

I. General information

NPI: 1457496689
Provider Name (Legal Business Name): MS. MEREDITH ELISE SMITH
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/21/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

43 E ROMIE LN
SALINAS CA
93901-3123
US

IV. Provider business mailing address

PO BOX 5383
CARMEL CA
93921-5383
US

V. Phone/Fax

Practice location:
  • Phone: 831-755-7870
  • Fax: 831-755-7875
Mailing address:
  • Phone: 831-642-9292
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171M00000X
TaxonomyCase Manager/Care Coordinator
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: