Doctor Name: | PATRICIA ANN SMITH |
NPI Number: | 1487901161 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | R.N.WCC |
License Number: | 26NO06026100 |
Business Practice Address: | 2475 Mcclellan Ave Pennsauken, NJ - 081094683 |
Business Phone Number: | 8566753355 |
Business Fax Number: | 8566753686 |
Mailing Address: | 2475 Mcclellan Ave, PENNSAUKEN |
State: | NJ |
Postal Code: | 081094683 |
Phone Number: | 8566753355 |
Fax Number: | 8566753686 |
NPI Enumeration Date: | 08/13/2012 |
NPI Last Update Date: | 08/13/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 163WW0000X |
License Number: | 26NO06026100 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NJ |
Taxonomy Type: | Nursing Service Providers |
Taxonomy Classification: | Registered Nurse |
Taxonomy Specialization: | Wound Care |
Taxonomy Definition: |