Smith, Dana Rae
Smith, Dana Rae is an sole proprietor health care provider with primary practice located at 1802 Yakima Ave Ste 304 , Tacoma WA 98405-5305. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Acute Care, Physician Assistants & Advanced Practice Nursing Providers / Gerontology. Physician Assistants & Advanced Practice Nursing Providers / Gerontology is her primary health care specialty. Smith, Dana Rae can be contacted via phone (253) 627-1244.Contact Information
Primary practice address
1802 Yakima Ave Ste 304
Tacoma WA 98405-5305
Phone: (253) 627-1244
Fax: (360) 792-1166
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Acute Care | 363LA2100X | AP61026277 | Washington |
| Physician Assistants & Advanced Practice Nursing Providers / Gerontology | 363LG0600X | AP61026277 | Washington |
Profile Details
| NPI number | 1972141216 |
|---|---|
| LBN Legal business name | Smith, Dana Rae |
| Credentials | ARNP |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 17th, 2019 |
| Last updated | Dec 9th, 2020 - about 4 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1972141216 | NPPES |
| Washington | MEDICAID | 2147893 |
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