Individual provider · NPI-1
Tyrone Smith
Technician, Personal Care Attendant · Newport News, VA
NPI number1164005245
StatusActive
Last updated in NPPESMay 5, 2021
Details
- NPI
- 1164005245
- Entity type
- Individual (NPI-1)
- Name
- Tyrone Smith
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- May 5, 2021
- Certification date
- May 5, 2021
- Last updated
- May 5, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 3747P1801X | Technician, Personal Care Attendant | – | – | Yes |
| 3747A0650X | Technician, Attendant Care Provider | – | – | |
| 374U00000X | Home Health Aide | – | – |
Practice location
300 Hidenwood Dr Apt A4Newport News, VA 23606-2317
Phone 757-493-1294
Mailing address
300 Hidenwood Dr Apt A4Newport News, VA 23606-2317
Phone 757-493-1294
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