Individual
NANCY MCGEOUGH SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
REGISTERED NURSE
Contact information
Practice address
109 LAKEWOOD DR, PORT JERVIS, NY 12771-5237
(845) 856-7442
Mailing address
109 LAKEWOOD DR, PORT JERVIS, NY 12771-5237
(845) 856-7442
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
293734-1
NY
Other
Enumeration date
07/02/2014
Last updated
01/06/2017
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