Montanna J Smith, PNP Valid NPI

Individual provider · Pediatric Nurse Practitioner · East Syracuse, NY

NPI

1811730989

Type

Individual (Type 1)

Primary specialty

Pediatric Nurse Practitioner (Nurse Practitioner)

Specialty group

Physician Assistants & Advanced Practice Nursing Providers

Taxonomy code

363LP0200X

License number

383826 (NY)

Sex

Male

Sole proprietor

No

Enumerated

2024-06-17

Last updated

2026-02-25