Individual
LARAE K SMEDLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ACNP-BC
Contact information
Practice address
621 S NEW BALLAS RD, SUITE 3016B, SAINT LOUIS, MO 63141-8232
(314) 251-6339
(314) 251-4564
Mailing address
621 S NEW BALLAS RD, SUITE 3016B, SAINT LOUIS, MO 63141-8232
(314) 251-6339
(314) 251-4564
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
2012005799
MO
Other
Enumeration date
02/24/2012
Last updated
02/24/2012
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