Individual provider · Type 1 NPI
Keenan Smith, PMHNP-BC
Psychiatric/Mental Health Nurse Practitioner · Bellevue, WA
NPI number
1003519372
Active
Practice location
2105 112th Ave NE Ste 201
Bellevue, WA 98004-2945
Mailing address
PO Box 1097
Birmingham, MI 48012-1097
Other practice locations
- 100 N Howard St Ste R, Spokane, WA 99201-0508 · (206) 249-7715
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 53-82167-102 (KS) |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 4704370314 (MI) |
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | AP61423786 (WA) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
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About NPI 1003519372
Keenan Smith, PMHNP-BC's National Provider Identifier is 1003519372, issued on Mar 24, 2023. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Bellevue, WA. The record was last updated on Jul 13, 2023.