Individual
MRS. CHERYLANNE SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
3587 GRIFFIN RD, SYRACUSE, NY 13215-9525
(315) 498-4942
Mailing address
3587 GRIFFIN RD, SYRACUSE, NY 13215-9525
(315) 498-4942
Taxonomy
Speciality
Code
Description
License number
State
163WP0200X
Pediatric Registered Nurse
Primary
536150-1
NY
163WP0807X
Child & Adolescent Psychiatric/Mental Health Registered Nurse
536150-1
NY
Other
Enumeration date
03/17/2008
Last updated
03/17/2008
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