Individual provider · Type 1 NPI

Derrell Smith

Licensed Practical Nurse · Syracuse, NY

NPI number 1700276243 Active

Practice location

130 E Bissell St
Syracuse, NY 13207-1801

Call (315) 956-3690 Map

Mailing address

130 East Bissell Street
Syracuse, NY 13205

Specialties and licenses

Taxonomy	Code	License
Licensed Practical Nurse Primary	164W00000X	321023 (NY)

Licensed Practical Nurse: An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

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About NPI 1700276243

Derrell Smith's National Provider Identifier is 1700276243, issued on Feb 4, 2015. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Syracuse, NY. The record was last updated on Feb 4, 2015.