Smith, Mandesa Malika

Smith, Mandesa Malika is an individual health care provider with primary practice located at 4300 Fayetteville Rd , Lumberton NC 28358. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Maternal Newborn, Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife. Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife is her primary health care specialty. Smith, Mandesa Malika can be contacted via phone (910) 608-3078.

Contact Information

Primary practice address
4300 Fayetteville Rd Lumberton NC 28358
Phone: (910) 608-3078
Fax: (910) 608-3079
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Maternal Newborn 163WM0102X 249148 North Carolina
Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife 367A00000X

Profile Details

NPI number 1083099568
LBN Legal business name Smith, Mandesa Malika
Credentials Certified Nurse Midwife (CNM)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 24th, 2015
Last updated Mar 1st, 2024 - about 9 months 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1083099568 NPPES
North Carolina Other 573 LICENSE NUMBER

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