Individual
MRS. MANDESA MALIKA SMITH
Active
Individual
MRS. MANDESA MALIKA SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM
Taxonomy
Speciality
Code
Description
License number
State
163WM0102X
Maternal Newborn Registered Nurse
249148
NC
367A00000X
Advanced Practice Midwife
Primary
249148
NC
367A00000X
Advanced Practice Midwife
573
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
573
LICENSE NUMBER
NC
Enumeration date
07/24/2015
Last updated
06/09/2026
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