Individual
JULIE SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
150 MEMORIAL DR, KINGWOOD, WV 26537-1141
(304) 329-1400
Mailing address
428 MORGANTOWN ST, KINGWOOD, WV 26537-1140
(304) 329-0256
(304) 329-0733
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
102053
WV
363LF0000X
Family Nurse Practitioner
Primary
117186
WV
Other
Enumeration date
05/04/2023
Last updated
05/07/2024
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