Provider Demographics
NPI:1386925691
Name:SMITH, THURMANDY ANNE (RN)
Entity type:Individual
Prefix:
First Name:THURMANDY
Middle Name:ANNE
Last Name:SMITH
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6591 MAIN ST
Mailing Address - Street 2:PO BOX 185
Mailing Address - City:CHERRY CREEK
Mailing Address - State:NY
Mailing Address - Zip Code:14723-9790
Mailing Address - Country:US
Mailing Address - Phone:716-499-2227
Mailing Address - Fax:716-296-8134
Practice Address - Street 1:346 DELAWARE AVE
Practice Address - Street 2:
Practice Address - City:BUFFALO
Practice Address - State:NY
Practice Address - Zip Code:14202-1804
Practice Address - Country:US
Practice Address - Phone:716-856-7500
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-08-31
Last Update Date:2011-08-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY543723163WH0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WH0200XNursing Service ProvidersRegistered NurseHome Health