Individual provider · Type 1 NPI
Tyree Darnell Smith, MSN, CRNP, CPNP-AC
Pediatric Nurse Practitioner · Philadelphia, PA
NPI number
1184020554
Active
Practice location
34 Street And Civic Center Blvd, 1st Floor Wood Building
Philadelphia, PA 19104
Mailing address
1609 Merribrook Ln
Philadelphia, PA 19151-2717
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatric Nurse Practitioner Primary | 363LP0200X | SP014445 (PA) |
| Acute Care Nurse Practitioner | 363LA2100X | SP014445 (PA) |
| Critical Care Pediatric Nurse Practitioner | 363LP0222X | SP014445 (PA) |
Pediatric Nurse Practitioner: Definition to come...
Another provider at this address
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About NPI 1184020554
Tyree Darnell Smith, MSN, CRNP, CPNP-AC's National Provider Identifier is 1184020554, issued on Nov 13, 2014. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Philadelphia, PA. The record was last updated on Nov 14, 2014.