Individual
TANYA L SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
824 MAIN ST, SUITE 307, PHOENIXVILLE, PA 19460-4478
(610) 933-3182
Mailing address
3624 MARKET ST, SUITE 560W, PHILADELPHIA, PA 19104-2614
(215) 662-2286
(215) 615-0500
Taxonomy
Speciality
Code
Description
License number
State
364S00000X
Clinical Nurse Specialist
Primary
MA052577
PA
Other
Enumeration date
10/10/2006
Last updated
02/24/2014
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