Andrene R Smith, LPN
Licensed Practical Nurse in Hillcrest, NY. Individual provider (NPI-1).
NPI number1861661902
StatusActive
Last updated in NPPESFeb 22, 2008
Details
- NPI
- 1861661902
- Entity type
- Individual (NPI-1)
- Name
- Ms. Andrene R Smith
- Credential
- LPN
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Feb 22, 2008
- Last updated
- Feb 22, 2008
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 164W00000X | Licensed Practical Nurse | 238572 | NY | Yes |
Practice location
27 Eckerson LaneHillcrest, NY 10977
Phone 917-862-5215 · Fax 718-347-4643
Mailing address
35 Tulip AvenuePo Box 20838
Floral Park, NY 11002
Phone 917-862-5215 · Fax 718-347-4643
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