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Organization

ALICIA SMITH'S WOMEN'S CARE, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. ALICIA BROOKS-SMITH APRN (APRN, WHNP-BC)
(816) 233-7258
Entity
Organization

Contact information

Practice address
1335 VILLAGE DR, SAINT JOSEPH, MO 64506-2457
(816) 233-7258
(816) 233-4967
Mailing address
1335 VILLAGE DR, SAINT JOSEPH, MO 64506-2457
(816) 233-7258
(816) 233-4967

Taxonomy

Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
200162032
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1932454832
MO
Enumeration date
09/05/2016
Last updated
09/23/2016
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