Individual
MRS. CYNTHIA MARIE SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
3401 N BROAD ST, PHILADELPHIA, PA 19140-5103
(215) 707-5330
Mailing address
8321 THOURON AVE, PHILADELPHIA, PA 19150-2020
(215) 970-4846
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
SP012727
PA
Other
Enumeration date
08/02/2013
Last updated
08/02/2013
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