Individual
ALEXANDRA KOOPMAN SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
130 FISHER RD, BARRE, VT 05641-9004
(802) 371-4239
Mailing address
130 FISHER RD, BARRE, VT 05641-9004
(802) 371-4239
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN2283755
MA
363L00000X
Nurse Practitioner
Primary
101-0136323
VT
363LF0000X
Family Nurse Practitioner
RN2283755
MA
Other
Enumeration date
12/12/2014
Last updated
12/14/2023
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