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Individual

MS. CAROLYN H SMITH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RNP

Contact information

Practice address
1717 BIDDLE ST, SAINT LOUIS, MO 63106-3454
(314) 814-8585
(314) 814-8542
Mailing address
3529 HIRONDELLE LN, FLORISSANT, MO 63034-2221
(314) 814-8585
(314) 814-8542

Taxonomy

Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
082848
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
4235666413
MO
Enumeration date
10/17/2006
Last updated
07/08/2007
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