Individual
NATHAN D SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
549 FAIR ST, BLOOMSBURG, PA 17815-1419
(570) 387-2100
Mailing address
635 WOODLAND DR, MILLVILLE, PA 17846-9165
(412) 855-8850
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
F01181008
PA
Other
Enumeration date
02/04/2018
Last updated
02/04/2018
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