Individual
BRENDA JEANNE SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
104 TEMPLE DR, METHUEN, MA 01844-1464
(978) 203-6798
(978) 416-7887
Mailing address
104 TEMPLE DR, METHUEN, MA 01844-1464
(978) 203-6798
(978) 416-7887
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
228767
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0706078
M.H. PROVIDER NUMBER
MA
Enumeration date
03/02/2007
Last updated
07/08/2007
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