Smith, Patricia Diane

Smith, Patricia Diane is an individual health care provider with primary practice located at 1310 25Th Ave. S , Nashville TN 37212. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Adult Health, which is considered as her primary health care specialty. Smith, Patricia Diane can be contacted via phone (615) 873-8170.

Contact Information

Primary practice address
1310 25Th Ave. S Nashville TN 37212
Phone: (615) 873-8170
Fax: (615) 873-8174
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X APN0000006987 Tennessee

Profile Details

NPI number 1063451607
LBN Legal business name Smith, Patricia Diane
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 6th, 2006
Last updated Sep 20th, 2011 - about 13 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1063451607 NPPES
Tennessee MEDICAID 3648710

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