| Doctor Name: | NOLA SMITH |
| NPI Number: | 1043616485 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | RN, BSN BC |
| License Number: | 594909-1 |
| Business Practice Address: | 58 Harbor Homes Port Washington, NY - 110507251 |
| Business Phone Number: | 5165265416 |
| Business Fax Number: | |
| Mailing Address: | Po Box 1251, PORT WASHINGTON |
| State: | NY |
| Postal Code: | 110507251 |
| Phone Number: | 5165265416 |
| Fax Number: | |
| NPI Enumeration Date: | 11/12/2014 |
| NPI Last Update Date: | 11/12/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 163WG0000X |
| License Number: | 594909-1 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NY |
| Taxonomy Type: | Nursing Service Providers |
| Taxonomy Classification: | Registered Nurse |
| Taxonomy Specialization: | General Practice |
| Taxonomy Definition: | |