Provider Demographics
NPI:1336411123
Name:SMITH, DAYNA YOUNG (RNFA)
Entity type:Individual
Prefix:MRS
First Name:DAYNA
Middle Name:YOUNG
Last Name:SMITH
Suffix:
Gender:F
Credentials:RNFA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:224 BEAR DR
Mailing Address - Street 2:
Mailing Address - City:RICHLAND
Mailing Address - State:WA
Mailing Address - Zip Code:99352-8806
Mailing Address - Country:US
Mailing Address - Phone:509-521-7016
Mailing Address - Fax:
Practice Address - Street 1:224 BEAR DR
Practice Address - Street 2:
Practice Address - City:RICHLAND
Practice Address - State:WA
Practice Address - Zip Code:99352-8806
Practice Address - Country:US
Practice Address - Phone:509-521-7016
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-02-08
Last Update Date:2015-11-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA00166123163W00000X
WARN00166123163WR0006X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WR0006XNursing Service ProvidersRegistered NurseRegistered Nurse First Assistant
No163W00000XNursing Service ProvidersRegistered Nurse