MEDICARE: MRS. VICKIE DARLENE SMELTZER RNFA

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
1	163WR0006X	Registered Nurse First Assistant	RN0000074322	TN

General Provider Information

NPI Number	:	1376789339
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. VICKIE DARLENE SMELTZER RNFA

Provider Business Mailing Address
First Line	:	190 MOORE CIRCLE RD NW
Second Line	:
City	:	CHARLESTON
State	:	TN
Zip	:	37310-5026
Country	:	US
Telephone Number	:	423-618-2611
Fax Number	:

Provider Business Practice Location Address
First Line	:	190 MOORE CIRCLE RD NW
Second Line	:
City	:	CHARLESTON
State	:	TN
Zip	:	37310-5026
Country	:	US
Telephone Number	:	423-618-2611
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/22/2008
Last Update Date	:	12/22/2008

Similar Medicare Providers

1487263836 — LYNDSAY MORGAN HALL RBT
Practice Location Address:

4993 OHEAR AVE APT 5107
NORTH CHARLESTON, SC
29405-5026

Practice Phone: 843-568-6748
Practice Fax:

1538908371 — ALEXIS GONZALEZ ANTONUCCI
Practice Location Address:

169 ASHLEY AVE RM 202
CHARLESTON, SC
29425-5026

Practice Phone: 843-792-7365
Practice Fax:

1689673105 — KAVIN J JOHNSON MD
Practice Location Address:

9029 HIWASSEE ST NW
CHARLESTON, TN
37310-5305

Practice Phone: 423-665-9026
Practice Fax: 423-584-6747

1487662672 — DELOYN L MCDONOUGH PA-C
Practice Location Address:

9026 HIWASSEE STREET NE
CHARLESTON, TN
37310

Practice Phone: 423-665-3666
Practice Fax: 423-584-6747

1558476598 — PREFERRED FAMILY PHARMACY LLC
Practice Location Address:

8896 HIWASSEE ST NW
CHARLESTON, TN
37310-5340

Practice Phone: 423-336-5522
Practice Fax: 423-680-6101

1811168941 — MR. KEITH L KIDD FNP-BC
Practice Location Address:

9026 HIWASSEE ST NE
CHARLESTON, TN
37310-5305

Practice Phone: 423-665-3666
Practice Fax: 423-584-6747

Directions to “ MRS. VICKIE DARLENE SMELTZER RNFA” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.