Individual
DANIELLE SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
115 SUNNYSIDE AVE STE A, GRANGER, WA 98932-9348
(509) 865-6450
(509) 854-1919
Mailing address
115 SUNNYSIDE AVE STE A, GRANGER, WA 98932-9348
(509) 865-6450
(509) 854-1919
Taxonomy
Speciality
Code
Description
License number
State
208M00000X
Hospitalist Physician
10304628-4405
UT
363L00000X
Nurse Practitioner
Primary
AP61017572
WA
Other
Enumeration date
01/22/2019
Last updated
03/24/2021
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