Individual
WENDY J SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
525 N FOOTE AVE, SUITE 202, COLORADO SPRINGS, CO 80909-4501
(719) 365-6568
(719) 365-6317
Mailing address
8890 N UNION BLVD, STE 160, COLORADO SPRINGS, CO 80920-7799
(719) 365-9950
(719) 365-9969
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
10187
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
09455205
—
MS
05
—
3349969
—
TN
01
—
4103232
BCBS TN
TN
05
—
89327853
—
CO
Enumeration date
07/19/2006
Last updated
12/11/2013
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