Individual
KRISTINA SMOUSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
608 CHEAT RD, MORGANTOWN, WV 26508-4210
(304) 594-1313
Mailing address
608 CHEAT RD STE 400, MORGANTOWN, WV 26508-4210
(559) 882-2738
Taxonomy
Speciality
Code
Description
License number
State
176B00000X
Midwife
Primary
APRN73786
WV
176B00000X
Midwife
APRN73786-MIDWIFE
WV
363LX0001X
Obstetrics & Gynecology Nurse Practitioner
SP013957
PA
Other
Enumeration date
07/11/2014
Last updated
12/08/2022
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