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Individual

ANN LOUISE SMITH

Active
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Individual

ANN LOUISE SMITH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PHD, CPNP

Taxonomy

Speciality
Code
Description
License number
State
163WP0807X
Child & Adolescent Psychiatric/Mental Health Registered Nurse
579494
TX
363LP0200X
Pediatric Nurse Practitioner
Primary
579494
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
220124601
TX
01
220124602
CSHCN
TX
Enumeration date
04/10/2006
Last updated
07/24/2012
Update your record

If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.

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