Mr. Zachary Adam Smith
Nurse Practitioner - Pediatrics
1445 Health Center Pkwy
Yukon
, Oklahoma 73099-6492
Mr. Zachary Adam Smith
Nurse Practitioner - Pediatrics
1445 Health Center Pkwy
Yukon
, Oklahoma 73099-6492
(405) 577-6701
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About
Features
Specialties
- Nurse Practitioner - Pediatrics
Languages spoken
- English
Location
First Address
- Mr. Zachary Adam Smith
- 1445 Health Center Pkwy
- Yukon, OK
- Zip : 73099-6492
- Phone : (405) 577-6701
Second Address
- Mr. Zachary Adam Smith
- 1445 Health Center Pkwy
- Yukon, OK
- Zip : 73099-6492
- Phone : (405) 577-6701
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 363LP0200X | Nurse Practitioner - Pediatrics | 96356 | OK |
National Provider Identifier
| NPI | 1043595093 |
|---|---|
| Provider Name | Mr. Zachary Adam Smith |
| First Address | Yukon, OK 73099-6492 |
| Second Address | Yukon, OK 73099-6492 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 20/10/2011 |
| Last Update Date | 20/10/2011 |
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.