Individual
DANA NICHOLS SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PNP
Contact information
Practice address
2150 HERBERT CT, ECU PHYSICIANS PEDIATRIC ENDOCRINOLOGY, GREENVILLE, NC 27834-3736
(252) 744-5437
(252) 744-1514
Mailing address
PO BOX 751069, CHARLOTTE, NC 28275-1069
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
5006483
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1023446424
—
NC
Enumeration date
10/22/2013
Last updated
12/31/2024
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