Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 363LC0200X | Nurse Practitioner - Critical Care Medicine | RN1011677 | DC |
Y | 363LF0000X | Nurse Practitioner - Family Medicine | RN1011677 | DC |
NPI | 1366992406 |
---|---|
Provider Name | Sheila Smith |
First Address | Washington, DC 20017-2104 |
Second Address | Washington, DC 20017-2104 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 13/10/2016 |
Last Update Date | 25/01/2017 |