Thomas, Siri Smith

Thomas, Siri Smith is an individual health care provider with primary practice located at 1500 Matthews Township Pkwy , Matthews NC 28105-4656. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Adult Health, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. Thomas, Siri Smith can be contacted via phone (704) 384-6478.

Contact Information

Primary practice address
1500 Matthews Township Pkwy Matthews NC 28105-4656
Phone: (704) 384-6478
Fax: (704) 384-8182
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X 5006622 North Carolina
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X 3723 South Carolina
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 5006622 North Carolina

Profile Details

NPI number 1851534986
LBN Legal business name Thomas, Siri Smith
Credentials Adult Nurse Practitioner (ANP)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 20th, 2009
Last updated Nov 2nd, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1851534986 NPPES
South Carolina MEDICAID NP1701

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