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Individual

MS. PATRICIA DIANE SMITH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
N.P

Contact information

Practice address
1310 25TH AVE. S, NASHVILLE, TN 37212
(615) 873-8170
(615) 873-8174
Mailing address
1310 25TH AVE. SOUTH, NASHVILLE, TN 37212
(615) 873-8170
(615) 873-8174

Taxonomy

Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
APN0000006987
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
3648710
TN
Enumeration date
06/06/2006
Last updated
09/20/2011
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