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Individual
MRS. KATE IRENE SMITH
Active
Individual
MRS. KATE IRENE SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
A.P.R.N.
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
003459
CT
363LP0200X
Pediatric Nurse Practitioner
Primary
003459
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
003459
APRN LICENSE
CT
Enumeration date
08/31/2006
Last updated
02/21/2022
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