Individual provider · Type 1 NPI
Nicole Prima Smith, CRNP
Family Nurse Practitioner · Philadelphia, PA
NPI number
1659736247
Active
Practice location
3400 Civic Center Blvd, 3 West
Philadelphia, PA 19104-5127
Fax (215) 349-8144
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 340199 (NY) |
| Family Nurse Practitioner Primary | 363LF0000X | SP017571 (PA) |
Family Nurse Practitioner: Definition to come...
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About NPI 1659736247
Nicole Prima Smith, CRNP's National Provider Identifier is 1659736247, issued on Dec 23, 2015. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Philadelphia, PA. The record was last updated on Jan 28, 2020.