Provider Demographics
NPI:1760969307
Name:SMITH, NUBRITTANY SAMONE
Entity Type:Individual
Prefix:
First Name:NUBRITTANY
Middle Name:SAMONE
Last Name:SMITH
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:220 CARAWAY BLUFFS PL
Mailing Address - Street 2:
Mailing Address - City:HENDERSON
Mailing Address - State:NV
Mailing Address - Zip Code:89015-6253
Mailing Address - Country:US
Mailing Address - Phone:541-429-1018
Mailing Address - Fax:
Practice Address - Street 1:220 CARAWAY BLUFFS PL
Practice Address - Street 2:
Practice Address - City:HENDERSON
Practice Address - State:NV
Practice Address - Zip Code:89015-6253
Practice Address - Country:US
Practice Address - Phone:541-429-1018
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-07-26
Last Update Date:2018-07-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide