Provider Demographics
NPI:1720069412
Name:SMILEY, NANCY JEANETTE (MD)
Entity Type:Individual
Prefix:DR
First Name:NANCY
Middle Name:JEANETTE
Last Name:SMILEY
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:WATERFRONT PLAZA, TOWER SEVEN
Mailing Address - Street 2:500 ALA MOANA BLVD STE 230
Mailing Address - City:HONOLULU
Mailing Address - State:HI
Mailing Address - Zip Code:96813-4920
Mailing Address - Country:US
Mailing Address - Phone:808-536-9367
Mailing Address - Fax:808-536-9369
Practice Address - Street 1:500 ALA MOANA BLVD STE 230
Practice Address - Street 2:
Practice Address - City:HONOLULU
Practice Address - State:HI
Practice Address - Zip Code:96813-4920
Practice Address - Country:US
Practice Address - Phone:808-536-9367
Practice Address - Fax:808-536-9369
Is Sole Proprietor?:No
Enumeration Date:2005-11-09
Last Update Date:2017-12-13
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
HI12207207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine