person
Diana Smith, NP
Psychiatric/Mental Health Nurse Practitioner in Pueblo, Colorado
NPI 1689948424

Diana Smith is a Psychiatric/Mental Health Nurse Practitioner based in Pueblo, CO and is specialized in Psychiatric/Mental Health. Diana Smith practices in Pueblo, CO and has the professional credentials of NP. The NPI Number for Diana Smith is 1689948424 and holds a License No. RN81430 (Colorado).

The current practice location address for Diana Smith is 635 W Corona Ave Ste 200, Pueblo, CO and can be reached out via phone at 719-553-7521 and via fax at 719-229-4672. You can also correspond with Diana Smith through the mailing address at 635 W CORONA AVE STE 200, PUEBLO, CO - 81004-1210 (mailing address contact number: 719-553-7521).

Location: 635 W Corona Ave Ste 200, Pueblo, CO, 81004-1210
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Provider Profile Details
NPI Number
1689948424
Provider Name
Diana Smith
Credential
NP
Provider Entity Type
Individual
Gender
Female
Address
635 W Corona Ave Ste 200, Pueblo, CO, 81004-1210
Phone Number
719-553-7521
Fax Number
719-229-4672
Provider Enumeration Date
02/24/2012
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1G4858 01 CO MEDICARE
39278352 05 CO
institution
Provider Business Practice Location Address Details
Address
635 W Corona Ave Ste 200
City
State
Zip
81004-1210
Phone Number
719-553-7521
Fax Number
719-229-4672
person
Provider Business Mailing Address Details
Address
635 W Corona Ave Ste 200
City
State
Zip
81004-1210
Phone Number
719-553-7521
Fax Number
719-229-4672
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Registered Nurse
Speciality
Community Health
Taxonomy
License No.
991239 (Colorado)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Psychiatric/Mental Health
Taxonomy
License No.
APN.0991239-NP (Colorado)
Definition
Definition to come...
person
Provider's Taxonomy Details 3
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Clinical Nurse Specialist
Speciality
Psychiatric/Mental Health
Taxonomy
License No.
RN81430 (Colorado)
Definition
Definition to come...
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