Provider Demographics
NPI:1760483366
Name:SMITH, NANCY LANCASTER (MSN, RN, CS)
Entity Type:Individual
Prefix:
First Name:NANCY
Middle Name:LANCASTER
Last Name:SMITH
Suffix:
Gender:F
Credentials:MSN, RN, CS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:201 MORNINGSIDE DR
Mailing Address - Street 2:
Mailing Address - City:CARRBORO
Mailing Address - State:NC
Mailing Address - Zip Code:27510-1252
Mailing Address - Country:US
Mailing Address - Phone:919-469-4995
Mailing Address - Fax:919-469-4540
Practice Address - Street 1:975 WALNUT ST
Practice Address - Street 2:207
Practice Address - City:CARY
Practice Address - State:NC
Practice Address - Zip Code:27511-4268
Practice Address - Country:US
Practice Address - Phone:919-469-4995
Practice Address - Fax:919-469-4540
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-08-03
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NC115042364S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes364S00000XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse Specialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC2596239Medicare ID - Type UnspecifiedCLINICAL NURSE SPECIALIST