| NPI | 1588275929 |
|---|---|
| Doing Business As | PARKVIEW MEDICAL |
| Other Name | DIANA SMITH PSYCHIATRIC MENTAL HEALTH NURSE PRACTITIONER LLC |
| Entity Type | Organization |
| Authorized Contact | DIANA J SMITH Provider 719-553-7521 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry |
| Enumeration Date | 2020-08-10 |
| Last Update Date | 2022-12-28 |