Doctor Name: | GLORIA HARE SMITH |
NPI Number: | 1356313118 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | RN |
License Number: | 167019 |
Business Practice Address: | 1060 Gaffney Rd Ft Wainwright, AK - 997035001 |
Business Phone Number: | 9073531207 |
Business Fax Number: | 9073534850 |
Mailing Address: | 1405 Chestnut St, FT WAINWRIGHT |
State: | AK |
Postal Code: | 997031377 |
Phone Number: | 9073561819 |
Fax Number: | 9073534850 |
NPI Enumeration Date: | 02/06/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 163WG0000X |
License Number: | 167019 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NC |
Taxonomy Type: | Nursing Service Providers |
Taxonomy Classification: | Registered Nurse |
Taxonomy Specialization: | General Practice |
Taxonomy Definition: |