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NPI Code Detail

MEDICARE: NICOLE DANIELLE SMITH MSN, WHNP-BC

MEDICARE: NICOLE DANIELLE SMITH MSN, WHNP-BC
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
1163W00000XRegistered Nurse876101TX
2363LW0102XWomen's Health Nurse Practitioner1130548TX

General Provider Information

NPI Number : 1568142040
Entity Type Code : Individual
Provider Name (Legal Business Name) : NICOLE DANIELLE SMITH MSN, WHNP-BC
Provider Business Mailing Address
First Line : 5151 MAPLE AVE STE 6A
Second Line :
City : DALLAS
State : TX
Zip : 75235-8136
Country : US
Telephone Number : 214-266-0130
Fax Number : 214-266-0144
Provider Business Practice Location Address
First Line : 5151 MAPLE AVE STE 6A
Second Line :
City : DALLAS
State : TX
Zip : 75235-8136
Country : US
Telephone Number : 214-266-0130
Fax Number : 214-266-0144
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/20/2023
Last Update Date : 06/01/2026

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Directions to “ NICOLE DANIELLE SMITH MSN, WHNP-BC” Practice Location

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