Individual
PANAYIOTA AGAMEMNONOS SMEATHERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, MPH, CNM, FNP-C
Contact information
Practice address
3920 DUTCHMANS LN STE 300, LOUISVILLE, KY 40207-4702
(502) 587-4515
Mailing address
PO BOX 909, LOUISVILLE, KY 40201-0909
(502) 587-4515
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
3017265
KY
363L00000X
Nurse Practitioner
71005517A
IN
363LF0000X
Family Nurse Practitioner
16796
TN
367A00000X
Advanced Practice Midwife
16796
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100370750
—
KY
Enumeration date
07/11/2012
Last updated
03/08/2022
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