Individual
MS. DIANNA KAY SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, CNP, FNP, PMHNP
Contact information
Practice address
254 PINECREST DR, GALLIPOLIS, OH 45631-1347
(740) 578-4824
(740) 578-4821
Mailing address
2538 WHEATON RD, BIDWELL, OH 45614-9348
(740) 645-3491
(740) 578-4821
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
06403
OH
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
06403
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2282444
—
OH
Enumeration date
03/14/2006
Last updated
07/10/2019
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