Individual
CAROLYN RENA SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1624 JESSUP ST, WILMINGTON, DE 19802-4210
(302) 552-3574
Mailing address
6 BANCROFT RD, NEW CASTLE, DE 19720-8848
(215) 834-6299
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
LG-0012438
DE
Other
Enumeration date
08/25/2023
Last updated
08/25/2023
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