Individual
NYSSA SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
100 PIN OAK LN, KEYSER, WV 26726-5908
(304) 597-3500
Mailing address
100 PIN OAK LN, KEYSER, WV 26726-5908
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
66827
WV
Other
Enumeration date
02/28/2018
Last updated
02/28/2018
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