Provider Demographics
NPI:1669445292
Name:SMITH, DARLINDA D (AT,C, RN, APRN)
Entity Type:Individual
Prefix:MISS
First Name:DARLINDA
Middle Name:D
Last Name:SMITH
Suffix:
Gender:F
Credentials:AT,C, RN, APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:530 S JACKSON ST
Mailing Address - Street 2:
Mailing Address - City:LOUISVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:40202-1675
Mailing Address - Country:US
Mailing Address - Phone:502-562-6501
Mailing Address - Fax:502-562-3764
Practice Address - Street 1:530 S JACKSON ST
Practice Address - Street 2:
Practice Address - City:LOUISVILLE
Practice Address - State:KY
Practice Address - Zip Code:40202-1675
Practice Address - Country:US
Practice Address - Phone:502-562-6501
Practice Address - Fax:502-562-3764
Is Sole Proprietor?:No
Enumeration Date:2006-02-13
Last Update Date:2016-02-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY1103847163W00000X
KY3007602363LF0000X
IN28204147A163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163W00000XNursing Service ProvidersRegistered Nurse