Individual
DENETTE VONADA-SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
4101 S 4TH ST, LEAVENWORTH, KS 66048-5014
(913) 682-2000
Mailing address
18071 DONAHOO RD, TONGANOXIE, KS 66086-5314
(785) 249-7405
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
53-76630-071
KS
364SF0001X
Family Health Clinical Nurse Specialist
53-76630-071
KS
Other
Enumeration date
03/05/2015
Last updated
03/04/2020
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