Individual
TANYA SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
18051 RIVER AVE, SUITE 200, NOBLESVILLE, IN 46062-7091
(317) 773-0002
(317) 776-6095
Mailing address
18051 RIVER AVE, SUITE 200, NOBLESVILLE, IN 46062-7091
(317) 773-0002
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
10000618
IN
Other
Enumeration date
10/23/2006
Last updated
04/21/2010
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