Individual
MEGAN SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
N.P.
Contact information
Practice address
1802 BRAEBURN DR, SALEM, VA 24153-7357
(540) 772-3580
Mailing address
1802 BRAEBURN DR, SALEM, VA 24153-7357
(540) 772-3580
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
0024173124
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1043685399
—
VA
Enumeration date
12/10/2015
Last updated
01/27/2022
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