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Individual

MRS. SAMANTHA JANE SMITH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
RN-NNP-BC

Contact information

Practice address
1201 W 38TH ST, AUSTIN, TX 78705-1006
(512) 324-1085
Mailing address
1109 GEMINI DR, AUSTIN, TX 78758-4128
(512) 919-2157

Taxonomy

Speciality
Code
Description
License number
State
163WN0002X
Neonatal Intensive Care Registered Nurse
706001
TX
363LN0000X
Neonatal Nurse Practitioner
706001
TX
363LN0000X
Neonatal Nurse Practitioner
Primary
AP116606
TX
363LN0005X
Critical Care Neonatal Nurse Practitioner
706001
TX

Other

Enumeration date
08/23/2007
Last updated
12/09/2022
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