Individual
ANDREA SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
1509 DOCTOR CIRCLE, BUILDING C, WILMINGTON, NC 28401
(910) 398-3941
Mailing address
2605 RICOCHET LOOP APT 2108, WILMINGTON, NC 28412-5413
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
5020456
NC
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
07/15/2024
Last updated
09/26/2024
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