Individual
DIANE C SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
901 SW GARFIELD AVE, TOPEKA, KS 66606-1670
(785) 354-9591
(785) 354-0497
Mailing address
901 SW GARFIELD AVE, TOPEKA, KS 66606-1670
(785) 354-9591
(785) 354-0497
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
53-75097-122
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
068002123
MEDICARE PTAN
KS
05
—
200732530A
—
KS
Enumeration date
06/27/2011
Last updated
09/19/2022
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