NPI 1639207426

Shaun Smith

Practitioner Nursing Home Administrator Lewisburg, PA

Practice location

Address: 90 Maplewood Dr, Lewisburg, PA 17837-6307
Phone: (570) 523-2941
Mailing address: 1122 Campbell St, Williamsport, PA 17701-3025

Registered specialties (2)

Nursing Home Administrator Primary

Nursing Service Related Providers Taxonomy 376G00000X Licence NH005241L (PA)

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Occupational Therapist

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225X00000X Licence OC002690L (PA)

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Registry record

NPI: 1639207426
Entity type: Individual
Sex (as registered): Male
NPI issued: 1 Mar 2007
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.