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Derrell Smith
Licensed Practical Nurse in Syracuse, New York
NPI 1700276243

Derrell Smith is a Licensed Practical Nurse based in Syracuse, NY. Derrell Smith practices in Syracuse, NY. The NPI Number for Derrell Smith is 1700276243 and holds a License No. 321023 (New York).

The current practice location address for Derrell Smith is 130 E Bissell St, Syracuse, NY and can be reached out via phone at 315-956-3690.

Location: 130 E Bissell St, Syracuse, NY, 13205
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1700276243
Provider Name
Derrell Smith
Credential
Provider Entity Type
Individual
Gender
Male
Address
130 E Bissell St, Syracuse, NY, 13205
Phone Number
315-956-3690
Fax Number
Provider Enumeration Date
02/04/2015
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
130 E Bissell St
City
Syracuse
State
New York
Zip
13207-1801
Phone Number
315-956-3690
Fax Number
person
Provider Business Mailing Address Details
Address
130 E Bissell St
City
Syracuse
State
New York
Zip
13207-1801
Phone Number
315-956-3690
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Licensed Practical Nurse
Speciality
-
Taxonomy
164W00000X
License No.
321023 (New York)
Definition
An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.
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