Individual
MARIA SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3100 N ACADEMY BLVD, COLORADO SPRINGS, CO 80917-5321
(719) 574-0384
Mailing address
3100 N ACADEMY BLVD, COLORADO SPRINGS, CO 80917-5321
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
00990540
CO
Other
Enumeration date
11/20/2012
Last updated
11/20/2012
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