Individual
SAMANTHA LYNN SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NNP-BC
Contact information
Practice address
2301 ERWIN RD, DURHAM, NC 27705-4699
(919) 684-8111
Mailing address
5647 STEWART RD, WADE, NC 28395-8939
(919) 935-6106
Taxonomy
Speciality
Code
Description
License number
State
363LN0005X
Critical Care Neonatal Nurse Practitioner
Primary
5018423
NC
Other
Enumeration date
07/10/2023
Last updated
07/10/2023
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