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Individual

MRS. HEATHER NICOSIA SMITH

Active
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Individual

MRS. HEATHER NICOSIA SMITH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
WHNP-BC

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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