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Individual

MRS. MARJORIE FIELDS SMITH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PMHNP

Contact information

Practice address
3932 SPRINGFIELD RD, GLEN ALLEN, VA 23060-4119
(804) 837-5311
(804) 368-0267
Mailing address
9184 BRACEY MILL PL, MECHANICSVILLE, VA 23116-5154
(804) 837-5311
(804) 368-0267

Taxonomy

Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
0024182011
VA
364SP0808X
Psychiatric/Mental Health Clinical Nurse Specialist
Primary
0015000188
VA

Other

Enumeration date
01/16/2013
Last updated
11/04/2021
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