Provider Demographics
NPI:1376070425
Name:DAVID A SMITH PMH-NP PLLC
Entity type:Organization
Organization Name:DAVID A SMITH PMH-NP PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SOLE MBR
Authorized Official - Prefix:
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:AMORY
Authorized Official - Last Name:SMITH
Authorized Official - Suffix:
Authorized Official - Credentials:PMHNP
Authorized Official - Phone:828-536-9768
Mailing Address - Street 1:16 LINN GARDEN LN
Mailing Address - Street 2:
Mailing Address - City:SWANNANOA
Mailing Address - State:NC
Mailing Address - Zip Code:28778-6214
Mailing Address - Country:US
Mailing Address - Phone:828-536-9768
Mailing Address - Fax:915-934-0243
Practice Address - Street 1:5 RAVENSCROFT DR STE 201
Practice Address - Street 2:
Practice Address - City:ASHEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28801-3685
Practice Address - Country:US
Practice Address - Phone:828-254-0749
Practice Address - Fax:951-934-0243
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-05-19
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC5007913363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental HealthGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
2015004283OtherAMERICAN NURSES CREDENTIALING CENTER
NC5007913OtherNC BOARD OF NURSING
NC5007913OtherNC BOARD OF NURSING