Individual
DIANE K. SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, APRN-BC, GNP
Contact information
Practice address
202 10TH ST SE, SUITE 111, CEDAR RAPIDS, IA 52403-2414
(319) 558-4903
(319) 369-8402
Mailing address
202 10TH ST SE, SUITE 111, CEDAR RAPIDS, IA 52403-2414
(319) 558-4903
(319) 369-8402
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
J060120
IA
Other
Enumeration date
07/19/2007
Last updated
02/03/2017
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