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NPI 1104782564

IndividualActive

Alycia Smith, RN

NPI 1104782564 · Administrator Registered Nurse · Costa Mesa, CA

Provider details

NPI number: 1104782564
Entity type: Individual
Primary specialty: Administrator Registered NurseNursing Service Providers
Credential: RN
Sex: Female
Sole proprietor: Yes
License: RN95368561 (CA)

Practice location

630 Center St Unit B

Costa Mesa, CA 92627-2709

Phone: (707) 541-8731

Fax: (949) 209-1995

More CA providers

Mailing address

630 Center St Unit B

Costa Mesa, CA 92627-2709

Registry dates

Enumerated: 2025-12-30
Last updated: 2025-12-30

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.

Alycia Smith, RN — NPI 1104782564, Costa Mesa, CA | NPI Central