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Individual
CRYSTAL LYNN SMITH
Active
Individual
CRYSTAL LYNN SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
1057136
TX
367A00000X
Advanced Practice Midwife
671904
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12586006
CAQH
—
Enumeration date
01/26/2012
Last updated
04/14/2022
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