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Individual
MARY PAGE SMITH
Active
Individual
MARY PAGE SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM, OB-GYN NP
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
100795
CO
363LP1700X
Perinatal Nurse Practitioner
Primary
100795
CO
363LW0102X
Women's Health Nurse Practitioner
100795
CO
367A00000X
Advanced Practice Midwife
100795
CO
Other
Enumeration date
07/12/2006
Last updated
09/14/2022
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