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Individual
MRS. CHERI PHYLLIS SMITH
Active
Individual
MRS. CHERI PHYLLIS SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN626571
PA
363L00000X
Nurse Practitioner
Primary
SP011459
PA
363LA2200X
Adult Health Nurse Practitioner
A1010035
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
103102660
—
PA
Enumeration date
10/17/2010
Last updated
12/16/2016
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