NPI Code Details Logo

NPI 1033036447

NPI 1033036447 : TRISHA ELAINE SMITH LVN : MERCED, CA

=====================================================
General NPI Number Information
=====================================================
    NPI Number           |    1033036447
-----------------------------------------------------
    Entity Type          |    Individual 
-----------------------------------------------------
    Provider Name        |    TRISHA ELAINE SMITH LVN
-----------------------------------------------------
    Gender               |    Female 
-----------------------------------------------------

=====================================================
Dates
=====================================================
    Enumeration Date     |    07/06/2026
-----------------------------------------------------
    Last Update Date     |    07/06/2026
-----------------------------------------------------

=====================================================
Provider Practice Location Address
=====================================================
    Address Line         |    340 E YOSEMITE AVE 
-----------------------------------------------------
    City                 |    MERCED
-----------------------------------------------------
    State                |    CA
-----------------------------------------------------
    Zip                  |    95340-9167
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    559-683-5300
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
Provider Business Mailing Address
=====================================================
    Address Line         |    35 W 19TH ST 
-----------------------------------------------------
    City                 |    MERCED
-----------------------------------------------------
    State                |    CA
-----------------------------------------------------
    Zip                  |    95340-4909
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    559-225-6100
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
Authorized Official
=====================================================
    Title or Position    |    
-----------------------------------------------------
    Name                 |        
-----------------------------------------------------
    Credential           |    
-----------------------------------------------------
    Telephone            |    
-----------------------------------------------------

=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
    Taxonomy Code        |    164W00000X
-----------------------------------------------------
    Taxonomy Name        |    Licensed Practical Nurse
-----------------------------------------------------
    License Number       |    252548
-----------------------------------------------------
    License Number State |    CA
-----------------------------------------------------



                        

Copyright © 2007-2026 Data Labs Health. All rights reserved.