Provider Demographics
NPI:1821146663
Name:SMITH, OANH D (RN)
Entity Type:Individual
Prefix:MRS
First Name:OANH
Middle Name:D
Last Name:SMITH
Suffix:
Gender:F
Credentials:RN
Other - Prefix:MRS
Other - First Name:OANH
Other - Middle Name:THI
Other - Last Name:DUONG
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:RN
Mailing Address - Street 1:6216 EDISON DRIVE
Mailing Address - Street 2:
Mailing Address - City:ALEXANDRIA
Mailing Address - State:VA
Mailing Address - Zip Code:22310
Mailing Address - Country:US
Mailing Address - Phone:703-719-0412
Mailing Address - Fax:
Practice Address - Street 1:8850 RICHMOND HWY
Practice Address - Street 2:
Practice Address - City:ALEXANDRIA
Practice Address - State:VA
Practice Address - Zip Code:22309
Practice Address - Country:US
Practice Address - Phone:703-704-7004
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-01-08
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0001097800163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse