Provider Demographics
NPI:1013561703
Name:SMITH, DAWN SHERRIE (MA)
Entity Type:Individual
Prefix:MRS
First Name:DAWN
Middle Name:SHERRIE
Last Name:SMITH
Suffix:
Gender:F
Credentials:MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7230 DISCOVERY CT
Mailing Address - Street 2:
Mailing Address - City:RENO
Mailing Address - State:NV
Mailing Address - Zip Code:89506-5642
Mailing Address - Country:US
Mailing Address - Phone:775-200-5260
Mailing Address - Fax:
Practice Address - Street 1:7230 DISCOVERY CT
Practice Address - Street 2:
Practice Address - City:RENO
Practice Address - State:NV
Practice Address - Zip Code:89506-5642
Practice Address - Country:US
Practice Address - Phone:775-200-5260
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-07-30
Last Update Date:2019-07-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide