Healthcare Provider Details

I. General information

NPI: 1477713881
Provider Name (Legal Business Name): SANDRA K SMITH RN, MPH, WCC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/10/2008
Last Update Date: 06/10/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1 HOSPITAL RD
CHEROKEE NC
28719
US

IV. Provider business mailing address

1 HOSPITAL RD
CHEROKEE NC
28719
US

V. Phone/Fax

Practice location:
  • Phone: 828-497-9163
  • Fax: 828-497-5354
Mailing address:
  • Phone: 828-497-9163
  • Fax: 828-497-5354

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WW0101X
TaxonomyAmbulatory Women's Health Care Registered Nurse
License Number079000
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: