Brea Trinity Smith, PNP | |
700 E Gilbert St, San Bernardino, CA 92415-1003 | |
(909) 382-3535 | |
(909) 383-3830 |
Full Name | Brea Trinity Smith |
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Gender | Female |
Speciality | Nurse Practitioner - Pediatrics |
Location | 700 E Gilbert St, San Bernardino, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1891156352 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LP0200X | Nurse Practitioner - Pediatrics | 761340 (California) | Primary |
Entity Name | Faculty Physicians And Surgeons Of Llusm |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1205009917 PECOS PAC ID: 1153227814 Enrollment ID: O20031211000981 |
Entity Name | Faculty Physicians And Surgeons Of Llusm |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1508255175 PECOS PAC ID: 1153227814 Enrollment ID: O20160216002196 |
Mailing Address | Practice Location Address |
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Brea Trinity Smith, PNP 11234 Anderson St, Room 6700 H, Loma Linda, CA 92354-2804 Ph: (909) 558-8514 | Brea Trinity Smith, PNP 700 E Gilbert St, San Bernardino, CA 92415-1003 Ph: (909) 382-3535 |
Ms. Mariana Concepcion Moualem, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1800 Western Ave Ste 305, San Bernardino, CA 92411 Phone: 909-880-9993 Fax: 909-880-9998 | |
Brenda Jean Boyle, PMHNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1455 East 3rd Street, San Bernardino, CA 92410 Phone: 909-382-7100 Fax: 909-382-7103 | |
Mrs. Jocelyn Ellen Seitz-keough, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1998 N Arrowhead Ave, San Bernardino, CA 92405 Phone: 909-882-0988 | |
Laura Elise Hiday, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: Childrens Assessment Ctr, 700 E Gilbert St, San Bernardino, CA 92415 Phone: 909-382-3535 | |
Laura Andrews, NURSE PRACTIONER Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 598 N F St, San Bernardino, CA 92410 Phone: 909-888-8152 Fax: 909-884-7530 | |
Ms. Dawn Michelle Downs, MSN, FNP-BC, RN, CCR Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 18592 Cajon Blvd, San Bernardino, CA 92407 Phone: 951-283-9861 | |
Saul Ramirez, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1800 Western Ave Ste 401, San Bernardino, CA 92411 Phone: 909-880-3677 |