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Individual

MRS. TERESA M SMITH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
1101 HIGHWAY K STE A, O FALLON, MO 63366-8431
(314) 687-2730
Mailing address
PO BOX 955534, SAINT LOUIS, MO 63195-7213

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
149531
MO
363LF0000X
Family Nurse Practitioner
149531
MO
363LF0000X
Family Nurse Practitioner
16181-33
WI
363LF0000X
Family Nurse Practitioner
614734
OK
363LF0000X
Family Nurse Practitioner
619816
OK

Other

Enumeration date
08/11/2005
Last updated
12/12/2024
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