person
Mrs. Susan R Smith, NP
Primary Care Nurse Practitioner in Charlotte, North Carolina
NPI 1417949884

Susan R Smith is a Primary Care Nurse Practitioner based in Charlotte, NC and is specialized in Primary Care. Susan R Smith practices in Charlotte, NC and has the professional credentials of NP. The NPI Number for Susan R Smith is 1417949884 and holds a License No. 79105 (North Carolina).

The current practice location address for Susan R Smith is 1420 E 7Th St, Charlotte, NC and can be reached out via phone at 704-375-0100 and via fax at 704-887-6450.

Location: 1420 E 7Th St, Charlotte, NC, 28204-2408
person
Provider Profile Details
NPI Number
1417949884
Provider Name
Susan R Smith
Credential
NP
Provider Entity Type
Individual
Gender
Female
Address
1420 E 7Th St, Charlotte, NC, 28204-2408
Phone Number
704-375-0100
Fax Number
704-887-6450
Provider Enumeration Date
08/22/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
P00210985 01 NC RR MEDICARE
institution
Provider Business Practice Location Address Details
Address
1420 E 7Th St
City
State
Zip
28204-2408
Phone Number
704-375-0100
Fax Number
704-887-6450
person
Provider Business Mailing Address Details
Address
1420 E 7Th St
City
State
Zip
28204-2408
Phone Number
704-375-0100
Fax Number
704-887-6450
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Primary Care
Taxonomy
License No.
79105 (North Carolina)
Definition
Definition to come...
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