Individual
TRIPHENA SMALLS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
3945 WOODLAND VIEW DR, CHARLOTTE, NC 28215-8209
(980) 402-9039
Mailing address
PO BOX 690732, MINT HILL, NC 28227-7013
(980) 402-9039
Taxonomy
Speciality
Code
Description
License number
State
163WI0500X
Infusion Therapy Registered Nurse
Primary
203483
NC
163WW0000X
Wound Care Registered Nurse
203483
NC
Other
Enumeration date
01/11/2022
Last updated
01/11/2022
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