Individual
SHABORI SHANAE SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
11125 DUNN RD STE 406, SAINT LOUIS, MO 63136-6132
(314) 653-5484
Mailing address
11155 DUNN RD STE 406, SAINT LOUIS, MO 63136-6150
(314) 653-5484
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
2024014462
MO
Other
Enumeration date
05/15/2024
Last updated
09/26/2025
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