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NPI 1407567076

IndividualActive

Shannon Smith

NPI 1407567076 · Homemaker · Philadelphia, PA

Provider details

NPI number: 1407567076
Entity type: Individual
Primary specialty: HomemakerNursing Service Related Providers
Sex: Female
Sole proprietor: Yes
License: 69043601 (PA)

Practice location

1810 W Rockland St

Philadelphia, PA 19141-1017

Phone: (267) 709-3079

More PA providers

Mailing address

1810 W Rockland St

Philadelphia, PA 19141-1017

Registry dates

Enumerated: 2022-12-05
Last updated: 2025-09-11

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.

Shannon Smith — NPI 1407567076, Philadelphia, PA | NPI Central