Individual
MICHELLE MARILYN SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5716 CLEVELAND ST STE 200, VIRGINIA BEACH, VA 23462
(757) 502-8583
(757) 226-9044
Mailing address
5716 CLEVELAND ST STE 200, VIRGINIA BEACH, VA 23462-1784
(757) 502-8583
(757) 226-9044
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
0024176333
VA
Other
Enumeration date
06/14/2018
Last updated
12/11/2018
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