Individual
MISS MEGAN SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CPNP-AC
Contact information
Practice address
601 CHILDRENS LN, NORFOLK, VA 23507-1910
(757) 668-7007
Mailing address
2201 WATERSPOINT PL, VIRGINIA BEACH, VA 23455-2262
(225) 329-7581
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
0024185999
VA
Other
Enumeration date
12/23/2022
Last updated
06/26/2024
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