Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207RE0101X | Endocrinologist (Diabetes Doctor) | SP020427 | PA |
Y | 363L00000X | Nurse Practitioner | SP020427 | PA |
NPI | 1023670007 |
---|---|
Provider Name | Dawn Danielle Smith |
First Address | Danville, PA 17822-4903 |
Second Address | Camp Hill, PA 17011-2200 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 01/07/2019 |
Last Update Date | 31/08/2020 |