MALESA RENEA SMYTH


Address: 12018 Woodsrim St, Live Oak, TX 78233-4243
Phone: 2103929782

MALESA RENEA SMYTH (NPI# 1912407412) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1912407412
Entity Type Individual
Full Name MALESA RENEA SMYTH
Practice Address 12018 Woodsrim St
Live Oak
TX 78233-4243
Practice Telephone 2103929782
Mailing Telephone 2103929782
Enumeration Date 2018-02-20
Last Update Date 2018-02-20
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 163WH0200X Registered Nurse
Specialization: Home Health
537843 TX Nursing Service Providers

Office Location

Street Address 12018 WOODSRIM ST
City LIVE OAK
State TX
Zip Code 78233-4243

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Taxonomy Information

Taxonomy Code 163WH0200X
Grouping Nursing Service Providers
Classification Registered Nurse
Specialization Home Health

Taxonomy Definition

Definition to come...

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Competitor

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City LIVE OAK
Zip Code 78233

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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