Individual
MRS. GEMMA N SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
10543 KENAI SPUR HWY, KENAI, AK 99611-7812
(907) 283-9118
(907) 283-5341
Mailing address
PO BOX 240, KENAI, AK 99611-0240
(907) 283-9118
(907) 283-5341
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
1248
AK
363LF0000X
Family Nurse Practitioner
1248
AK
Other
Enumeration date
08/22/2011
Last updated
08/22/2011
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