Individual
DAVEN SCOTT SMITH
Active
Individual
DAVEN SCOTT SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
7974656-3102
UT
363LC1500X
Community Health Nurse Practitioner
7974656-4405
UT
363LF0000X
Family Nurse Practitioner
Primary
7974656-4405
UT
363LP2300X
Primary Care Nurse Practitioner
7974656-4405
UT
Other
Enumeration date
06/03/2022
Last updated
11/14/2023
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