Individual
MS. MIRANDA LAUREN SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
7 MAIN RD NORTH, HAMPDEN, ME 04444
(207) 862-9464
(207) 862-9411
Mailing address
7 MAIN RD NORTH, HAMPDEN, ME 04444
(207) 862-9464
(207) 862-9411
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
0001260120
VA
363LF0000X
Family Nurse Practitioner
0024180173
VA
363LF0000X
Family Nurse Practitioner
Primary
CNP211299
ME
Other
Enumeration date
09/14/2020
Last updated
04/08/2023
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