| Miss Audrey Etta Smith, | |
|
12311 Ventura Blvd, Studio City, CA 91604-2509 | |
| (818) 762-1167 | |
| Not Available |
| Full Name | Miss Audrey Etta Smith |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 8 Years |
| Location | 12311 Ventura Blvd, Studio City, California |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639653447 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LP2300X | Nurse Practitioner - Primary Care | 95010044 (California) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Anvar Medical Group | 4284875451 | 7 |
| Entity Name | Healthcare Partners Affiliates Medical Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1659312593 PECOS PAC ID: 7315842002 Enrollment ID: O20031204001258 |
| Entity Name | Anvar Medical Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1831539485 PECOS PAC ID: 4284875451 Enrollment ID: O20130731000072 |
| Entity Name | FM Woundcare Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1982409579 PECOS PAC ID: 9234651597 Enrollment ID: O20250317002541 |
| Entity Name | Ezfm Marketing Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1508652066 PECOS PAC ID: 8325558216 Enrollment ID: O20250610002060 |
| Mailing Address | Practice Location Address |
|---|---|
| Miss Audrey Etta Smith, 18560 Vanowen St Unit 21, Reseda, CA 91335-5307 Ph: (818) 632-1248 | Miss Audrey Etta Smith, 12311 Ventura Blvd, Studio City, CA 91604-2509 Ph: (818) 762-1167 |
Ms. Lilith Berdischewsky, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 12215 Ventura Blvd Ste 106, Studio City, CA 91604 Phone: 818-769-2247 Fax: 818-769-2249 |
Rayna Cvetkova, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 11545 Moorpark St Apt 112, Studio City, CA 91602 Phone: 818-641-4250 |
Marin Crivello, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 12840 Riverside Dr, Studio City, CA 91607 Phone: 323-900-5746 |
Robert Deloach, N.P. Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 10925 Bluffside Dr, #419, Studio City, CA 91604 Phone: 310-922-5889 |
Sanaz Michelle Shaghaghi, FNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 10900 Bluffside Dr Apt 320, Studio City, CA 91604 Phone: 818-599-9805 |
Garrett G Glapa, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 11239 Ventura Blvd Ste 213, Studio City, CA 91604 Phone: 818-505-0152 Fax: 818-505-0398 |
Katie E Parfrey, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4304 Vantage Ave, Studio City, CA 91604 Phone: 714-501-9714 |