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Individual
ALEXIA MARIE SMITH
Active
Individual
ALEXIA MARIE SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
N.P.
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
4704252197
MI
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
839833
WI
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
MED-APRN-LIC-128631
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4704252197
LICENSE #
MI
Enumeration date
10/11/2007
Last updated
01/26/2022
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