Most Relevant Information
Provider Data
| NPI Number: | 1003645714 |
| Provider Name: | ANDREA LYNN SMITH RN |
| Entity Type: | Individual |
| Taxonomy Code: | 163WS0200X |
| Specialty: | Registered Nurse |
| License Number: | 645143-01 |
Most Important Dates
| Enumeration Date: | 07/31/2024 |
| Last Updated: | 09/09/2024 |
Provider Practice Location
79 CANARAS AVE
SARANAC LAKE
NY
129831590
Practice Location Phone/Fax
| Phone: | 5187914854 |
| Fax: |
Provider Mailing Location
79 CANARAS AVE
SARANAC LAKE
NY
129831590
Provider Mailing Phone/Fax
| Phone: | 5187914854 |
| Fax: |