Individual
DANA RAE SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
1802 YAKIMA AVE STE 304, TACOMA, WA 98405-5305
(253) 627-1244
(360) 792-1166
Mailing address
1802 YAKIMA AVE STE 304, TACOMA, WA 98405-5305
(253) 627-1244
(360) 792-1166
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
AP61026277
WA
363LG0600X
Gerontology Nurse Practitioner
Primary
AP61026277
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2147893
—
WA
Enumeration date
12/17/2019
Last updated
12/09/2020
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