Clarissa Smith, FNP-C | |
26520 Cactus Ave, Moreno Valley, CA 92555-3927 | |
(951) 385-8410 | |
Not Available |
Full Name | Clarissa Smith |
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Gender | Female |
Speciality | Nurse Practitioner |
Location | 26520 Cactus Ave, Moreno Valley, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1619637360 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363L00000X | Nurse Practitioner | 95019074 (California) | Primary |
Entity Name | Southern California Permanente Medical Group |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1316979834 PECOS PAC ID: 6002729175 Enrollment ID: O20040126000823 |
Entity Name | Emergency Physicians Urgent Care Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1689963845 PECOS PAC ID: 8527234418 Enrollment ID: O20111227000049 |
Mailing Address | Practice Location Address |
---|---|
Clarissa Smith, FNP-C Po Box 7368, Moreno Valley, CA 92552-7368 Ph: (951) 385-8410 | Clarissa Smith, FNP-C 26520 Cactus Ave, Moreno Valley, CA 92555-3927 Ph: (951) 385-8410 |
Lajean Avon Forbes, CNM Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 12712 Heacock St, Suite 7, Moreno Valley, CA 92553 Phone: 951-924-6824 Fax: 951-601-9302 | |
Susan Launa Weeks, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 26520 Cactus Ave, Moreno Valley, CA 92555 Phone: 951-486-5162 Fax: 818-843-5224 | |
Mfon-obong Nseuwa Etukudoh, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 12900 Frederick St Ste C, Moreno Valley, CA 92553 Phone: 888-743-7526 | |
Magen Ashley Costilla, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 26600 Cactus Ave Ste 300, Moreno Valley, CA 92555 Phone: 951-988-9500 | |
Holly Vanderhyde, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 12364 Perris Blvd, Moreno Valley, CA 92557 Phone: 605-209-6421 | |
Mrs. Vanessa Renee Smith Constantino, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 25970 Iris Ave Ste 3b, Moreno Valley, CA 92551 Phone: 951-924-2775 | |
Lloydette H Brewah, DNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 14934 Tarragon Way, Moreno Valley, CA 92553 Phone: 951-269-0542 |