Doctor Name: | LINDALEE SMITH |
NPI Number: | 1386004042 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | NP |
License Number: | AP130404 |
Business Practice Address: | 201 N Broadway St Joshua, TX - 760583066 |
Business Phone Number: | 8176452222 |
Business Fax Number: | 8176452223 |
Mailing Address: | 201 N Broadway St, JOSHUA |
State: | TX |
Postal Code: | 760583066 |
Phone Number: | 8176452222 |
Fax Number: | 8176452223 |
NPI Enumeration Date: | 02/24/2016 |
NPI Last Update Date: | 02/24/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 364SG0600X |
License Number: | AP130404 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | TX |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Clinical Nurse Specialist |
Taxonomy Specialization: | Gerontology |
Taxonomy Definition: |