Individual
NICOLE SMYTHE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5320 HOLLAND PARK AVE, FAYETTEVILLE, NC 28314-6361
(910) 315-0609
(910) 920-9074
Mailing address
5320 HOLLAND PARK AVE, FAYETTEVILLE, NC 28314-6361
(910) 315-0609
(910) 920-9074
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
215535
NC
376K00000X
Nurse's Aide
215535
—
Other
Enumeration date
12/30/2019
Last updated
12/30/2019
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