Provider Demographics
NPI:1346405982
Name:SMITH, NANCY BUTTS (FNP)
Entity Type:Individual
Prefix:MRS
First Name:NANCY
Middle Name:BUTTS
Last Name:SMITH
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15575 WELLS HWY
Mailing Address - Street 2:
Mailing Address - City:SENECA
Mailing Address - State:SC
Mailing Address - Zip Code:29678-1664
Mailing Address - Country:US
Mailing Address - Phone:864-886-2000
Mailing Address - Fax:864-888-3618
Practice Address - Street 1:15575 WELLS HWY
Practice Address - Street 2:
Practice Address - City:SENECA
Practice Address - State:SC
Practice Address - Zip Code:29678-1664
Practice Address - Country:US
Practice Address - Phone:864-886-2000
Practice Address - Fax:864-888-3618
Is Sole Proprietor?:No
Enumeration Date:2008-07-23
Last Update Date:2021-07-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC3645363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily