Individual
MS. MOON E SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN
Contact information
Practice address
1560 GARRETT RD, UPPER DARBY, PA 19082-4505
(610) 284-3300
(610) 284-3706
Mailing address
PO BOX 8500-6355, PHILADELPHIA, PA 19178-0001
(610) 497-7520
(610) 497-7525
Taxonomy
Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
Primary
MW008272L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001250948
—
PA
Enumeration date
01/30/2007
Last updated
06/08/2011
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