Individual
DEANNA SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
165 PEPPERS FERRY RD, WYTHEVILLE, VA 24382-2070
(276) 223-5452
Mailing address
165 PEPPERS FERRY RD, WYTHEVILLE, VA 24382-2070
(276) 223-5452
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
0002075868
VA
Other
Enumeration date
10/27/2025
Last updated
10/27/2025
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