Individual
LESLIE SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP, BSN, BS, RN
Contact information
Practice address
120 S 3RD ST, YAKIMA, WA 98901-2875
(509) 248-1800
Mailing address
120 S 3RD ST, YAKIMA, WA 98901-2875
(509) 248-1800
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN60207777
WA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
AP61348718
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1104394147
—
WA
Enumeration date
11/07/2018
Last updated
03/02/2023
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