Individual
MRS. DEBRA ANN SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RNC, MS, WHNP
Contact information
Practice address
49TH MEDICAL GROUP/SGOMW, 280 FIRST STREET, BLDG 23, HOLLOMAN AFB, NM 88330-8273
(575) 572-5874
(575) 572-2259
Mailing address
49TH MEDICAL GROUP/SGOMW, 280 FIRST STREET, BLDG 23, HOLLOMAN AFB, NM 88330-8273
(575) 572-5874
(575) 572-2259
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
702681
TX
Other
Enumeration date
03/02/2006
Last updated
04/09/2018
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