Provider Demographics
NPI:1215751680
Name:SMITH, ALESSANDRA BELLE
Entity type:Individual
Prefix:
First Name:ALESSANDRA
Middle Name:BELLE
Last Name:SMITH
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:929 N STATE ST UNIT 323
Mailing Address - Street 2:
Mailing Address - City:BELLINGHAM
Mailing Address - State:WA
Mailing Address - Zip Code:98225-5176
Mailing Address - Country:US
Mailing Address - Phone:425-319-6876
Mailing Address - Fax:
Practice Address - Street 1:929 N STATE ST UNIT 323
Practice Address - Street 2:
Practice Address - City:BELLINGHAM
Practice Address - State:WA
Practice Address - Zip Code:98225-5176
Practice Address - Country:US
Practice Address - Phone:425-319-6876
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-11-13
Last Update Date:2024-11-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA376K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes376K00000XNursing Service Related ProvidersNurse's Aide