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Individual
PROF. PATRICIA R SMITH
Active
Individual
PROF. PATRICIA R SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CRNP/PMH
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
R39655
MD
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
R39655
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010736J69
—
MD
05
—
361LE325
—
MD
01
—
N57763
CDS
MD
Enumeration date
08/01/2006
Last updated
09/11/2025
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