Individual
MRS. WANDA FAYE SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
126 EAST MAIN STREET, NEWBERN, TN 38059
(731) 627-2221
(731) 627-2221
Mailing address
126 EAST MAIN STREET, NEWBERN, TN 38059
(731) 627-2221
(731) 627-6152
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
115705
TN
Other
Enumeration date
07/29/2010
Last updated
07/29/2010
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