Individual
MR. DANIEL E SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN/APN
Contact information
Practice address
262 DANNY THOMAS PL, MEMPHIS, TN 38105-3678
(901) 595-3006
(901) 595-3842
Mailing address
262 DANNY THOMAS PL, MS 515, MEMPHIS, TN 38105-3678
(901) 595-3006
(901) 595-3842
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
R853561
MS
363LF0000X
Family Nurse Practitioner
Primary
11926
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5440767
—
TN
Enumeration date
05/02/2006
Last updated
10/02/2012
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