Individual
DANIEL SMITH
Active
Individual
DANIEL SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
NP
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
AP 60443727
WA
363LG0600X
Gerontology Nurse Practitioner
AP 60443727
WA
Other
Enumeration date
03/17/2014
Last updated
03/17/2014
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