Katherine Ellen Smith
Nurse Practitioner - Pediatrics
736 Irving Ave # 9100
Syracuse
, New York 13210-1687
Katherine Ellen Smith
Nurse Practitioner - Pediatrics
736 Irving Ave # 9100
Syracuse
, New York 13210-1687
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About
Features
Specialties
- Nurse Practitioner - Pediatrics
Languages spoken
- English
Location
First Address
- Katherine Ellen Smith
- 100 Rockford Dr
- Syracuse, NY
- Zip : 13224-1828
- Phone :
Second Address
- Katherine Ellen Smith
- 736 Irving Ave # 9100
- Syracuse, NY
- Zip : 13210-1687
- Phone : (315) 470-7379
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 363LP0200X | Nurse Practitioner - Pediatrics | 383131 | NY |
National Provider Identifier
| NPI | 1023633427 |
|---|---|
| Provider Name | Katherine Ellen Smith |
| First Address | Syracuse, NY 13224-1828 |
| Second Address | Syracuse, NY 13210-1687 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 11/06/2020 |
| Last Update Date | 11/06/2020 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.