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NPI Code Detail

MEDICARE: NADINE A SMITH NP

MEDICARE: NADINE A SMITH NP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LP0808XPsychiatric/Mental Health Nurse Practitioner201703459NP-PPOR
2363LP0808XPsychiatric/Mental Health Nurse PractitionerC-APN.0003490-C-NPCO
3363LP0808XPsychiatric/Mental Health Nurse Practitioner60717374WA
4363LP0808XPsychiatric/Mental Health Nurse PractitionerNP95001782CA
5363LW0102XWomen's Health Nurse PractitionerR146902MD
6363LP0808XPsychiatric/Mental Health Nurse PractitionerR146902MD

General Provider Information

NPI Number : 1205082062
Entity Type Code : Individual
Provider Name (Legal Business Name) : NADINE A SMITH NP
Provider Business Mailing Address
First Line : 4400 NE 77TH AVE STE 275
Second Line :
City : VANCOUVER
State : WA
Zip : 98662-6857
Country : US
Telephone Number : 360-567-8466
Fax Number : 660-951-7859
Provider Business Practice Location Address
First Line : 4400 NE 77TH AVE STE 275
Second Line :
City : VANCOUVER
State : WA
Zip : 98662-6857
Country : US
Telephone Number : 360-567-8466
Fax Number : 660-951-7859
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/13/2008
Last Update Date : 03/10/2026

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