Doctor Name: | DEANN MICHELLE SMITH |
NPI Number: | 1750409553 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | RNC |
License Number: | 661676 |
Business Practice Address: | 3815 Trailridge Dr Sachse, TX - 750484199 |
Business Phone Number: | 9725301617 |
Business Fax Number: | |
Mailing Address: | 3815 Trailridge Dr, SACHSE |
State: | TX |
Postal Code: | 750484199 |
Phone Number: | 9725301617 |
Fax Number: | |
NPI Enumeration Date: | 03/27/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 163WN0002X |
License Number: | 661676 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TX |
Taxonomy Type: | Nursing Service Providers |
Taxonomy Classification: | Registered Nurse |
Taxonomy Specialization: | Neonatal Intensive Care |
Taxonomy Definition: |