Individual
ALISON K SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
N.P.
Contact information
Practice address
1250 E MARSHALL STREET, RICHMOND, VA 23298-0510
(804) 327-8806
(804) 327-3065
Mailing address
PO BOX 91734, RICHMOND, VA 23291-1734
(804) 358-6100
(804) 342-7619
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
0024168495
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
C01120
MEDICARE GROUP PTAN
VA
01
—
C05844
MEDICARE GROUP PTAN
VA
01
—
C06287
MEDICARE GROUP PTAN
VA
01
—
C06543
MEDICARE GROUP PTAN
VA
01
—
C06563
MEDICARE GROUP PTAN
VA
Enumeration date
09/25/2009
Last updated
10/15/2012
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