Individual
TRISHA JEAN L SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MPH, LPN
Contact information
Practice address
152 BAYSHORE DR, SNEADS FERRY, NC 28460-9509
(760) 805-8573
Mailing address
152 BAYSHORE DR, SNEADS FERRY, NC 28460-9509
(760) 805-8573
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
30682
NC
164X00000X
Licensed Vocational Nurse
VN221053
CA
174N00000X
Lactation Consultant (Non-RN)
—
—
Other
Enumeration date
10/23/2006
Last updated
05/23/2024
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