Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MS. SUSAN SPIVOCK SMITH, CRNP
Active Sole ProprietorMS. SUSAN SPIVOCK SMITH, CRNP is a Gerontological Nurse Practitioner healthcare provider located in CAMP LEJEUNE, North Carolina. NPI 1336144252 is currently active in the NPPES registry. Verify at CMS.
Gerontological Nurse Practitioner · CAMP LEJEUNE, NC
Registration Details
- NPI Number
- 1336144252
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jun 16, 2005 (21.175965220766 yrs)
- Last Updated
- Oct 25, 2011
- License
-
R108147 (MD)
- Sole Proprietor
- Yes
Practice Information
- Address
-
100 BREWSTER BLVDNAVAL HOSPITALCAMP LEJEUNE, NC, 285482538Browse NC providers · Browse ZIP 28548
- Phone
- 9104504159
- Fax
- 9104504194
- Primary Specialty
-
Gerontological Nurse Practitioner
363LG0600X
Other Gerontological Nurse Practitioner Providers in CAMP LEJEUNE, NC
| Name | Credential | NPI |
|---|---|---|
| TARA MCGINNIS | NP | 1811613524 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.