Individual provider · Type 1 NPI
Amanda G. Smith
Psychiatric/Mental Health Nurse Practitioner · Queensbury, NY
NPI number
1861112757
Active
Practice location
25 Willowbrook Rd
Queensbury, NY 12804-5882
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Registered Nurse | 163W00000X | 668433 (NY) |
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | 403565 (NY) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
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About NPI 1861112757
Amanda G. Smith's National Provider Identifier is 1861112757, issued on Aug 31, 2022. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Queensbury, NY. The record was last updated on Nov 10, 2022.