# HEIDI M SMITH

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1629456330
- **Gender:** F
- **Credential:** NP-C

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LA2200X | Adult Health Nurse Practitioner | 251548 | NC | — |
| 363LG0600X | Gerontology Nurse Practitioner | 251548 | NC | — |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | 5008350 | NC | Yes |
| 363LP2300X | Primary Care Nurse Practitioner | 5008350 | NC | — |

## Other

- **Enumeration date:** 05/13/2015
- **Last updated:** 03/24/2025

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 1629456330 | — | NC |
| 01 | — | 19HKU | BCBSNC | NC |
| 01 | — | NCR588ABCD | MEDICARE | NC |