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Individual

DONNA SMITH TATE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
FNP

Contact information

Practice address
41800 W 11 MILE RD STE 109, NOVI, MI 48375-1818
(248) 660-1220
Mailing address
902 KIRKWOOD AVE NW, LENOIR, NC 28645-5121
(828) 754-0101
(828) 757-0402

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
142705
NC
363LF0000X
Family Nurse Practitioner
Primary
201849
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
201849
MEDICAL LICENSE
NC
Enumeration date
10/23/2006
Last updated
04/07/2025
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