Individual
LAURA A SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN, PMHNP-BC
Contact information
Practice address
203 CEDAR ST, MANSFIELD, TX 76063-1810
(817) 313-0490
(817) 789-4341
Mailing address
990 HWY 287 N STE 106, #256, MANSFIELD, TX 76063-2643
(817) 313-0490
(817) 789-4341
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
AP142681
TX
Other
Enumeration date
05/20/2019
Last updated
09/02/2022
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