# ANITA R SMITH

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1245215896
- **Gender:** F
- **Credential:** PNP

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2080P0207X | Pediatric Hematology & Oncology Physician | 300352 | NC | — |
| 363LP0200X | Pediatric Nurse Practitioner | 300352 | NC | Yes |

## Other

- **Enumeration date:** 12/07/2005
- **Last updated:** 12/18/2007

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 10186421 | — | VA |
| 05 | — | 7003526 | — | NC |
| 01 | — | 7241729 | AETNA | — |
| 01 | — | D8019 | MEDCOST | — |