Doctor Name: | DENISE L SMITH |
NPI Number: | 1063491124 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | RN |
License Number: | RN-233951L |
Business Practice Address: | Psc 827 Box 293 Fpo, AE - 09617 |
Business Phone Number: | 629-6316 |
Business Fax Number: | |
Mailing Address: | Psc 827 Box 293, FPO |
State: | AE |
Postal Code: | 09617 |
Phone Number: | 629-6316 |
Fax Number: | |
NPI Enumeration Date: | 01/17/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 163WA2000X |
License Number: | RN-233951L |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PA |
Taxonomy Type: | Nursing Service Providers |
Taxonomy Classification: | Registered Nurse |
Taxonomy Specialization: | Administrator |
Taxonomy Definition: |