person
Brent Tyler Smith, RN
Family Nurse Practitioner in Kingston, Pennsylvania
NPI 1376186064

Brent Tyler Smith is a Family Nurse Practitioner based in Wilkes Barre, PA and is specialized in Family. Brent Tyler Smith practices in Kingston, PA and has the professional credentials of RN. The NPI Number for Brent Tyler Smith is 1376186064 and holds a License No. SP002819 (Pennsylvania).

The current practice location address for Brent Tyler Smith is 562 Wyoming Ave, Kingston, PA and can be reached out via phone at 570-552-3900.

Location: 562 Wyoming Ave, Kingston, PA, 18702-5755
person
Provider Profile Details
NPI Number
1376186064
Provider Name
Brent Tyler Smith
Credential
RN
Provider Entity Type
Individual
Gender
Male
Address
562 Wyoming Ave, Kingston, PA, 18702-5755
Phone Number
570-552-3900
Fax Number
Provider Enumeration Date
10/24/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
562 Wyoming Ave
City
State
Zip
18704-3721
Phone Number
570-552-3900
Fax Number
person
Provider Business Mailing Address Details
Address
562 Wyoming Ave
City
State
Zip
18704-3721
Phone Number
570-552-3900
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
SP002819 (Pennsylvania)
Definition
Definition to come...
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