Chanae Mariah Smith, NP
Nurse Practitioner, Family in Mount Morris, NY. Individual provider (NPI-1).
NPI number1033045752
StatusActive
Last updated in NPPESJun 22, 2026
Details
- NPI
- 1033045752
- Entity type
- Individual (NPI-1)
- Name
- Chanae Mariah Smith
- Credential
- NP
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jun 22, 2026
- Certification date
- Jun 21, 2026
- Last updated
- Jun 22, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LF0000X | Nurse Practitioner, Family | 359380 | NY | Yes |
Practice location
2690 Perry RdMount Morris, NY 14510-9603
Phone 585-519-9973
Mailing address
2690 Perry RdMount Morris, NY 14510-9603
Phone 585-519-9973
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