MRS. SUSAN R SMITH NP NPI 1417949884

NPI Information

NPI: 1417949884
Provider Name: MRS. SUSAN R SMITH, NP
Classification: Nurse Practitioner - 363LP2300X
Entity Type: Individual

Specialization: Primary Care

Address:
1420 E 7TH ST
CHARLOTTE, NC
ZIP 28204
Phone: (704) 375-0100
Get Directions

MRS. Susan R Smith, NP is a primary care nurse practitioner in Charlotte, NC. MRS. Susan R Smith, NP NPI is 1417949884. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1420 E 7TH ST
CHARLOTTE, NC
ZIP 28204-408
Phone: (704) 375-0100
Fax: (704) 887-6450

The enumeration date for this NPI number is 8/22/2005 and was last updated on 3/2/2016.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LP2300X	Nurse Practitioner	Primary Care	79105	NORTH CAROLINA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	P00210985	OTHER	NORTH CAROLINA	RR MEDICARE
2	S45201	MEDICARE UPIN
3	2594929C	MEDICARE PIN	NORTH CAROLINA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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