Nathan John Smith, AU.D.
Individual provider Active NPI Audiologist · Wray, CO
NPI 1043350341 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1043350341
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Audiologist 231H00000X
- License
- 389 (CO)
- Practice address
- 320 Cedar St
Wray, CO 80758-1819 - Phone
- (970) 332-5439
- NPI assigned
- Feb 7, 2007
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 389 | CO | MD | Audiologist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Audiologist | 231H00000X | 389 | CO | Yes |
Addresses
Primary practice location
320 Cedar St
Wray, CO 80758-1819
Mailing address
320 Cedar St
Wray, CO 80758-1819
Phone (970) 332-5439
Other providers in Wray, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.