MALLORY SMITH NPI 1720561160

NPI Information

NPI: 1720561160
Provider Name: MALLORY SMITH
Classification: Nurse Practitioner - 363LW0102X
Entity Type: Individual

Specialization: Women's Health

Organization: ADVANCED WOMENS CARE INC

PECOS Registration: Yes

Address:
7880 LINCOLE PL
LISBON, OH
ZIP 44432
Phone: (330) 424-7221
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Mallory Smith is a women's health nurse practitioner in Lisbon, OH with 6 years of experience. Mallory Smith NPI is 1720561160. 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:

7880 LINCOLE PL
LISBON, OH
ZIP 44432-322
Phone: (330) 424-7221

The NPI 1720561160 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 9/12/2018 and was last updated on 9/12/2018.

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	363LW0102X	Nurse Practitioner	Women's Health	APRN.CNP.023587	OHIO	Yes

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: 11/14/2023

NPI Synchronization or Removal

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