Individual
MRS. LAURA CHRISTINE SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
1131 MAIN ST, ALAMOSA, CO 81101-2446
(719) 580-8630
Mailing address
11416 CR FF, BLANCA, CO 81123
(719) 580-8630
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
APN.0994196-NP
CO
Other
Enumeration date
10/04/2018
Last updated
10/04/2018
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