Provider Demographics
NPI:1588934582
Name:SMITH, DAPHNE HORTENSE (RN, BSN, MS, CHCQM)
Entity type:Individual
Prefix:MRS
First Name:DAPHNE
Middle Name:HORTENSE
Last Name:SMITH
Suffix:
Gender:F
Credentials:RN, BSN, MS, CHCQM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12719 BRANDON BEND DR
Mailing Address - Street 2:
Mailing Address - City:MISSOURI CITY
Mailing Address - State:TX
Mailing Address - Zip Code:77489-3943
Mailing Address - Country:US
Mailing Address - Phone:713-408-9450
Mailing Address - Fax:832-201-4874
Practice Address - Street 1:12719 BRANDON BEND DR
Practice Address - Street 2:
Practice Address - City:MISSOURI CITY
Practice Address - State:TX
Practice Address - Zip Code:77489-3943
Practice Address - Country:US
Practice Address - Phone:713-408-9450
Practice Address - Fax:832-201-4874
Is Sole Proprietor?:Yes
Enumeration Date:2012-01-06
Last Update Date:2012-01-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX239189163W00000X, 163WH0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WH0200XNursing Service ProvidersRegistered NurseHome Health
No163W00000XNursing Service ProvidersRegistered Nurse