MRS. NICOLE ANNETTE SMITH PA-C
NPI 1437289584
Physician Assistant - Medical in Rancho Cucamonga, CA

Active since March 07, 2007
7777 B MILLIKEN AVE ST 240, RANCHO CUCAMONGA, CA 91730(909) 941-0247 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mrs. Nicole Annette Smith Pa-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MRS. NICOLE ANNETTE SMITH PA-C (NPI 1437289584) is an individual medical provider in Rancho Cucamonga, California, licensed in California (PA 17734) and active in the NPI registry since March 2007.

NPPES Registry Identity

NPI1437289584
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameMRS. NICOLE ANNETTE SMITHCredential: PA-C
Location Address7777 B MILLIKEN AVE ST 240Rancho Cucamonga, CA 91730
Mailing Address1542 La Costa CirUpland, CA 91784-8047 · (909) 931-1553
Sole ProprietorNo
Enumeration DateMarch 7, 2007
Last NPPES UpdateJuly 8, 2007
NPI 1437289584 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License Licensed in CA · PA 17734
7777 B MILLIKEN AVE ST 240, Rancho Cucamonga, CA 91730

Other Names 1

Former Name (1)Mrs. Nicole Annette Fitzgerald Pa-c

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Nicole Smith's NPI number?

The NPI number for Nicole Smith is 1437289584. It was assigned to this individual provider in the NPPES registry on March 7, 2007. The provider is also known as Mrs. Nicole Annette Fitzgerald Pa-C.

Where is Nicole Smith located?

Nicole Smith practices at 7777 B Milliken Ave St 240, Rancho Cucamonga, CA 91730. The listed phone number is (909) 941-0247.

What is Nicole Smith's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

When was this NPI record last updated?

The NPPES record for Nicole Smith was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.