Individual
MRS. CATHY ANN SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
700 S 2ND ST, ROOM 301, MOUNT VERNON, WA 98273-3879
(360) 336-9380
(360) 336-9401
Mailing address
5412 ERSHIG RD, BOW, WA 98232-9670
(360) 766-7615
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
AP30001695
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
83-065-11
—
WA
Enumeration date
04/04/2007
Last updated
07/09/2007
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