Smith, Denene P.

Smith, Denene P. is an individual health care provider with primary practice located at 923 W 3Rd St , Pembroke NC 28372-9628. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Smith, Denene P. can be contacted via phone (910) 775-9027.

Contact Information

Primary practice address
923 W 3Rd St Pembroke NC 28372-9628
Fax: (910) 521-8091
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 201409 North Carolina

Profile Details

NPI number 1770650749
LBN Legal business name Smith, Denene P.
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 28th, 2006
Last updated Nov 2nd, 2020 - about 6 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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Identifiers

StateTypeNumberIssuer
All States NPI 1770650749 NPPES
North Carolina MEDICAID 7004147

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