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NPI Code Detail

MEDICARE: MRS. NANCY MARIE SMYTH ARNP

MEDICARE: MRS. NANCY MARIE SMYTH ARNP
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
1363LF0000XFamily Nurse Practitioner5016053NC

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1003352907
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. NANCY MARIE SMYTH ARNP
Provider Business Mailing Address
First Line : 3803 N ELM ST
Second Line :
City : GREENSBORO
State : NC
Zip : 27455-2593
Country : US
Telephone Number : 866-686-2504
Fax Number :
Provider Business Practice Location Address
First Line : 3803 N ELM ST
Second Line :
City : GREENSBORO
State : NC
Zip : 27455-2593
Country : US
Telephone Number : 866-686-2504
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/16/2017
Last Update Date : 01/12/2026

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