Individual
MRS. HEATHER NICOSIA SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
WHNP-BC
Contact information
Practice address
17191 ST LUKES WAY, 200, THE WOODLANDS, TX 77384-8042
(936) 273-2016
(936) 273-2018
Mailing address
17191 ST LUKES WAY, 200, THE WOODLANDS, TX 77384-8042
(936) 273-2016
(936) 273-2018
Taxonomy
Speciality
Code
Description
License number
State
163WP0200X
Pediatric Registered Nurse
708458
TX
363LW0102X
Women's Health Nurse Practitioner
Primary
708458
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
708458
STATES LICENSE NUMBER
TX
Enumeration date
09/26/2006
Last updated
02/24/2015
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