Doctor Name: | MRS. DEBRA ANN SMITH |
NPI Number: | 1275500878 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | RNC, MS, WHNP |
License Number: | 702681 |
Business Practice Address: | 655 7th St Bldg 700700a 78 Mdg/sgn Robins Afb, GA - 310982227 |
Business Phone Number: | 4783277727 |
Business Fax Number: | |
Mailing Address: | 655 7th St Bldg 700700a, 78 Mdg/sgn ROBINS AFB |
State: | GA |
Postal Code: | 310982227 |
Phone Number: | 4783277727 |
Fax Number: | |
NPI Enumeration Date: | 03/02/2006 |
NPI Last Update Date: | 07/29/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LW0102X |
License Number: | 702681 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TX |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Women's Health |
Taxonomy Definition: |