Wanda Smith
Licensed Practical Nurse • Rialto, CA
Notice of NPI Deactivation & Inactive Practice Status
According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Wanda Smith has officially deactivated this NPI record and ceased active healthcare practice.
Professional Overview & Biography Verified Profile Summary
Wanda Smith was a registered Licensed Practical Nurse practicing in Rialto, CA. Throughout an active medical career spanning 16 years, Wanda Smith provided care at the practice location at 3730 FERNWOOD AVE until profile deactivation on 2024-03-20.
Practice Location & Contact Primary Location
3730 Fernwood Ave
Rialto, CA 923772724
Specialty Benchmarks & Practice Insights
Comparative analytics for Licensed Practical Nurse in Rialto, CA
Practicing in Rialto, CA (440 Statewide)
In-Person Office Visits Only
Under CMS Medicare Fee Schedule vs Standard Submitted Charges
Medical Specialties & State Licenses
NUCC Taxonomy Code: 164W00000X
An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.
Career & Practice History Timeline
Chronological log of verified NPI updates, location relocations, credentials, and registry changes
Record deactivated on March 20, 2024
NPI status registered as active in NPPES database
Registered at 3730 FERNWOOD AVE, RIALTO, CA 923772724 (Tel: 9094962440)
Registered at 3730 FERNWOOD AVE, RIALTO, CA 923772724
Recorded as WANDA SMITH
Licensed Practical Nurse (License #77787 in CA)
First registered as active Individual Practitioner in NPPES Database.
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NPI Administrative Meta
Mailing Address
3730 Fernwood Ave
Rialto, CA 923772724
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