NPI 1407567076

Shannon Smith

Practitioner Homemaker Philadelphia, PA

Practice location

Address: 1810 W Rockland St, Philadelphia, PA 19141-1017
Phone: (267) 709-3079

Registered specialties

Homemaker Primary

Nursing Service Related Providers Taxonomy 376J00000X Licence 69043601 (PA)

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Registry record

NPI: 1407567076
Entity type: Individual
Sex (as registered): Female
NPI issued: 5 Dec 2022
Record last updated: 11 Sep 2025

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.