Smith, Charniece

Smith, Charniece is an sole proprietor health care provider with primary practice located at 307 W Cota St , Shelton WA 98584-2265. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, which is considered as her primary health care specialty. Smith, Charniece can be contacted via phone (360) 205-8004.

Contact Information

Primary practice address
307 W Cota St Shelton WA 98584-2265
Phone: (360) 205-8004
Fax: (360) 839-2820
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X AP61154507 Washington
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X RN232587 Georgia

Profile Details

NPI number 1558900993
LBN Legal business name Smith, Charniece
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 2nd, 2020
Last updated May 25th, 2022 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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