Provider Demographics
NPI:1396586251
Name:SMITH, ZARI VALENTINE
Entity type:Individual
Prefix:
First Name:ZARI
Middle Name:VALENTINE
Last Name:SMITH
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:109 PIERCE ST
Mailing Address - Street 2:
Mailing Address - City:NOONAN
Mailing Address - State:ND
Mailing Address - Zip Code:58765-4017
Mailing Address - Country:US
Mailing Address - Phone:415-813-0212
Mailing Address - Fax:
Practice Address - Street 1:109 PIERCE ST
Practice Address - Street 2:
Practice Address - City:NOONAN
Practice Address - State:ND
Practice Address - Zip Code:58765-4017
Practice Address - Country:US
Practice Address - Phone:415-813-0212
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-06-04
Last Update Date:2024-06-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant