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Individual
REGINA P SMITH
Active
Individual
REGINA P SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
0050-02425
NC
363LF0000X
Family Nurse Practitioner
Primary
5002425
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7003896
—
NC
Enumeration date
11/28/2006
Last updated
02/18/2009
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