Healthcare Provider Details

I. General information

NPI: 1932520301
Provider Name (Legal Business Name): SARINA RENE SMITH BS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: SARINA SMITH

II. Dates (important events)

Enumeration Date: 01/02/2014
Last Update Date: 08/24/2026
Certification Date: 08/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1513 HARRISON AVE
ELKINS WV
26241-3356
US

IV. Provider business mailing address

1113 HEALTHWAY DR
SALISBURY MD
21804-4470
US

V. Phone/Fax

Practice location:
  • Phone: 304-553-7063
  • Fax:
Mailing address:
  • Phone: 410-334-6961
  • Fax: 410-334-6362

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171M00000X
TaxonomyCase Manager/Care Coordinator
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: