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Individual
YVONNE L SMITH
Active
Individual
YVONNE L SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
143295
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1316997117
—
MO
05
—
420847709
—
MO
01
—
832594039
MISSOURI MEDICARE
MO
Enumeration date
05/11/2006
Last updated
06/12/2020
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