Individual
DANA L SMALLWOOD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
1141 HOSPITAL DR NW, CORYDON, IN 47112-2164
(812) 738-7843
Mailing address
1141 HOSPITAL DR NW, ER, CORYDON, IN 47112-1540
(812) 738-7843
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
3013392
KY
363LF0000X
Family Nurse Practitioner
Primary
28175377A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
300030269
—
IN
01
—
412840119
MEDICARE
IN
05
—
7100628550
—
KY
Enumeration date
03/05/2018
Last updated
05/25/2022
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