# PROF. PATRICIA R SMITH

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1336156587
- **Gender:** Man
- **Credential:** CRNP/PMH

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363L00000X | Nurse Practitioner | R39655 | MD | Yes |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | R39655 | MD | — |

## Other

- **Enumeration date:** 08/01/2006
- **Last updated:** 09/11/2025

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 010736J69 | — | MD |
| 05 | — | 361LE325 | — | MD |
| 01 | — | N57763 | CDS | MD |