Provider Demographics
NPI:1982882411
Name:SMITH, AIMEE DENISE (FNP)
Entity type:Individual
Prefix:
First Name:AIMEE
Middle Name:DENISE
Last Name:SMITH
Suffix:
Gender:
Credentials:FNP
Other - Prefix:
Other - First Name:AIMEE
Other - Middle Name:DENISE
Other - Last Name:LETOURNEAU
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:FNP
Mailing Address - Street 1:1066 PINTAIL CIR
Mailing Address - Street 2:
Mailing Address - City:FOLSOM
Mailing Address - State:CA
Mailing Address - Zip Code:95630-7501
Mailing Address - Country:US
Mailing Address - Phone:916-353-1639
Mailing Address - Fax:
Practice Address - Street 1:4005 MANZANITA AVE # 6-234
Practice Address - Street 2:
Practice Address - City:CARMICHAEL
Practice Address - State:CA
Practice Address - Zip Code:95608-1770
Practice Address - Country:US
Practice Address - Phone:916-245-6464
Practice Address - Fax:916-339-6455
Is Sole Proprietor?:Yes
Enumeration Date:2008-02-06
Last Update Date:2025-03-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA11480363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily