Basic Information
Provider Information
NPI: 1528054475
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: SMITH
FirstName: APRIL
MiddleName: DUNAWAY
NamePrefix: MRS.
NameSuffix:  
Credential: FNP
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 504 PLAZA DR
Address2:  
City: SANTA MARIA
State: CA
PostalCode: 934546917
CountryCode: US
TelephoneNumber: 8057393474
FaxNumber: 8053463548
Practice Location
Address1: 723 WALNUT DR
Address2:  
City: PASO ROBLES
State: CA
PostalCode: 934462315
CountryCode: US
TelephoneNumber: 8052373050
FaxNumber: 8052373057
Other Information
ProviderEnumerationDate: 09/26/2005
LastUpdateDate: 06/26/2019
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
163WG0000X10818CAN Nursing Service ProvidersRegistered NurseGeneral Practice
363LF0000X10818CAY Physician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily

No ID Information.


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