Individual
TYPHANI GAIL SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
5002 CAROLINA FOREST BLVD, MYRTLE BEACH, SC 29579-3579
(888) 968-6386
(877) 720-5007
Mailing address
9600 CUYAMACA ST STE 201, SANTEE, CA 92071-2692
(619) 258-6200
(619) 258-0028
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
27292
SD
Other
Enumeration date
04/19/2023
Last updated
04/19/2023
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