Healthcare Provider Details

I. General information

NPI: 1952223364
Provider Name (Legal Business Name): ANGEL M SMITH RN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/28/2026
Last Update Date: 07/28/2026
Certification Date: 07/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2220 CANTERBURY DR
HAYS KS
67601-2370
US

IV. Provider business mailing address

205 W 35TH ST
HAYS KS
67601-1648
US

V. Phone/Fax

Practice location:
  • Phone: 785-623-5743
  • Fax:
Mailing address:
  • Phone: 785-639-1579
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WX0200X
TaxonomyOncology Registered Nurse
License Number13-75975-061
License Number StateKS

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: