Doctor Name: | MRS. WENDY DIANNE SMITH |
NPI Number: | 1033447156 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | FNP-BC |
License Number: | 5004585 |
Business Practice Address: | 118 Hamby Rd Dobson, NC - 270178471 |
Business Phone Number: | 3364018503 |
Business Fax Number: | |
Mailing Address: | 118 Hamby Rd, DOBSON |
State: | NC |
Postal Code: | 270178471 |
Phone Number: | 3364018503 |
Fax Number: | |
NPI Enumeration Date: | 12/01/2009 |
NPI Last Update Date: | 07/13/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | 5004585 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NC |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |