Individual
ELIZA MAE SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN-CNP-FNP-BC
Contact information
Practice address
5700 PHOENIX AVE, FORT SMITH, AR 72903-6073
(479) 441-2600
Mailing address
79381 S 4697 RD, STILWELL, OK 74960-3095
(918) 797-7284
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R0082263
OK
Other
Enumeration date
01/22/2021
Last updated
09/28/2023
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