Individual provider · Type 1 NPI
Tara Ann Smith
Family Nurse Practitioner · Syracuse, NY
NPI number
1508127887
Active
Practice location
301 Prospect Ave
Syracuse, NY 13203-1807
Mailing address
6178 Dawns Rdg
Cicero, NY 13039-7815
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | 533146 (NY) |
Family Nurse Practitioner: Definition to come...
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About NPI 1508127887
Tara Ann Smith's National Provider Identifier is 1508127887, issued on Jun 4, 2012. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Syracuse, NY. The record was last updated on Jun 4, 2012.