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NPI Code Detail

MEDICARE: VICTORIA SMITH RN

MEDICARE:   VICTORIA  SMITH  RN
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
1163WC0400XCase Management Registered Nurse0089292OK

General Provider Information

NPI Number : 1205393261
Entity Type Code : Individual
Provider Name (Legal Business Name) : VICTORIA SMITH RN
Provider Business Mailing Address
First Line : P.O BOX 30292
Second Line :
City : OKLAHOMA CITY
State : OK
Zip : 73140
Country : US
Telephone Number : 405-476-5766
Fax Number :
Provider Business Practice Location Address
First Line : 3704 LARKWOOD DR
Second Line :
City : OKLAHOMA CITY
State : OK
Zip : 73115-2824
Country : US
Telephone Number : 405-476-5766
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/26/2019
Last Update Date : 02/26/2019

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Directions to “ VICTORIA SMITH RN” Practice Location

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