Individual
CASSI MARIE SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
40 HOSPITAL RD, FAIRFAX, OK 74637-5084
(918) 642-8827
(918) 642-3298
Mailing address
40 HOSPITAL RD, FAIRFAX, OK 74637-5084
(918) 642-8827
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
200908
OK
Other
Enumeration date
03/04/2021
Last updated
11/23/2021
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