Basic Information
| Provider Information | |||||||||
| NPI: | 1063833192 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | ATALIG-SMITH | ||||||||
| FirstName: | AMELIA | ||||||||
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| Credential: | RN, CCRN, ANP | ||||||||
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| Mailing Information | |||||||||
| Address1: | 3687 MT DIABLO BLVD | ||||||||
| Address2: | STE 200 | ||||||||
| City: | LAFAYETTE | ||||||||
| State: | CA | ||||||||
| PostalCode: | 945493746 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5102046660 | ||||||||
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| Practice Location | |||||||||
| Address1: | 3100 SUMMIT ST | ||||||||
| Address2: | 2ND FLOOR, SUITE 2549 | ||||||||
| City: | OAKLAND | ||||||||
| State: | CA | ||||||||
| PostalCode: | 946093412 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5108698865 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 12/16/2013 | ||||||||
| LastUpdateDate: | 01/16/2017 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 363LA2200X | NP95000132 | CA | Y | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner | Adult Health |
No ID Information.