National Provider Identifier

Charlene M Smith, DNSC MSED WHNP BC

Charlene M Smith, DNSC MSED WHNP BC is listed in the NPPES registry with a primary specialty of Women's Health Nurse Practitioner in Brockport, NY and a listed phone number of (585) 341-6805.

NPI 1376632992Brockport, NYWomen's Health Nurse Practitioner

Profile Overview

NPI
1376632992
Provider Type
Individual
Primary Specialty
Women's Health Nurse Practitioner
Enumeration Date
October 12, 2006
Last Updated
July 08, 2007

Practice Location

  • 120 Laura Lane
  • Brockport, NY 14420

Phone: (585) 341-6805

Specialties

  • Women's Health Nurse Practitioner (363LW0102X)
Full Record
NPI
1376632992
Entity Type
Individual
Last Name
Smith
First Name
Charlene
Middle Name
M
Name Prefix
Mrs.
Credential
DNSC MSED WHNP BC
Mailing Street Address
120 Laura Lane
Mailing City
Brockport
Mailing State
NY
Mailing ZIP Code
14420
Mailing Country
US
Mailing Phone
(585) 341-6805
Mailing Fax
(585) 341-0433
Practice Street Address
120 Laura Lane
Practice City
Brockport
Practice State
NY
Practice ZIP Code
14420
Practice Country
US
Practice Phone
(585) 341-6805
Practice Fax
(585) 341-0433
Enumeration Date
October 12, 2006
Last Updated
July 08, 2007
Sex
Female
Sole Proprietor
No
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Women's Health Nurse Practitioner (363LW0102X)