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NPI Code Detail

MEDICARE: NANCY A SMITH MD

MEDICARE: NANCY A SMITH MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207Q00000XFamily Medicine PhysicianA60394CA

General Provider Information

NPI Number : 1760442339
Entity Type Code : Individual
Provider Name (Legal Business Name) : NANCY A SMITH MD
Provider Business Mailing Address
First Line : PO BOX 35380
Second Line :
City : LAS VEGAS
State : NV
Zip : 89133-5380
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1661 GOLDEN RAIN RD
Second Line :
City : SEAL BEACH
State : CA
Zip : 90740-4907
Country : US
Telephone Number : 562-493-9581
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/27/2006
Last Update Date : 11/29/2025

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Directions to “ NANCY A SMITH MD” Practice Location

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