Tricia Anne Smallwood, NP
Nurse Practitioner, Gerontology in Oakland, CA. Individual provider (NPI-1).
NPI number1245051242
StatusActive
Last updated in NPPESOct 22, 2024
Details
- NPI
- 1245051242
- Entity type
- Individual (NPI-1)
- Name
- Tricia Anne Smallwood
- Credential
- NP
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Oct 22, 2024
- Certification date
- Oct 22, 2024
- Last updated
- Oct 22, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LG0600X | Nurse Practitioner, Gerontology | 95032510 | CA | Yes |
Practice location
3100 Summit St Fl 2Oakland, CA 94609-3412
Phone 510-869-4000 · Fax 510-869-8475
Mailing address
158 Crestmont Dr Lowr AptOakland, CA 94619-2312
Phone 631-880-1814
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All 12 Gerontology Nurse Practitioner providers in Oakland · All 20,942 providers in Oakland
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