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Individual
CHARLEE MARIE SMITH
Active
Individual
CHARLEE MARIE SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
R1393266
MD
363L00000X
Nurse Practitioner
Primary
SP025338
PA
363LF0000X
Family Nurse Practitioner
117937
WV
363LF0000X
Family Nurse Practitioner
SP025338
PA
Other
Enumeration date
11/10/2021
Last updated
03/23/2026
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