Diane Ruth Smith, is a
Nurse Practitioner - Adult Health based in Bolling Afb, District Of Columbia. Diane Ruth Smith is licensed to practice in Virginia (license number 0001040494) and her current practice location is
238 Brookley Ave., Bolling Afb, District Of Columbia. She can be reached at her office (for appointments etc.) via phone at
(202) 404-3603.
NPI number for Diane Ruth Smith is 1073591285 and her current mailing address is 1016 S Wayne St, #612, Arlington, Virginia. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1073591285.
Provider's Profile
| Full Name | Diane Ruth Smith |
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| Gender | Female |
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| Speciality | Nurse Practitioner - Adult Health |
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| Location | 238 Brookley Ave., Bolling Afb, District Of Columbia |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1073591285
- Provider Enumeration Date: 01/06/2006
- Last Update Date: 07/08/2007
Medical Identifiers
Medical identifiers for Diane Ruth Smith such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1073591285 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 363LA2200X | Nurse Practitioner - Adult Health | 0001040494 (Virginia) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Diane Ruth Smith is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Diane Ruth Smith,
1016 S Wayne St, #612,
Arlington, VA 22204-4433
Ph: () - | Diane Ruth Smith,
238 Brookley Ave.,
Bolling Afb, DC 20332-0001
Ph: (202) 404-3603 |
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