Individual
CATHERINE DOLPHIN SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
15945 CLAYTON RD STE 120B, BALLWIN, MO 63011-2490
(636) 256-5070
(636) 256-5066
Mailing address
15945 CLAYTON RD STE 120B, BALLWIN, MO 63011-2490
(636) 256-5070
(696) 256-5066
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
2018024092
MO
363LG0600X
Gerontology Nurse Practitioner
2018024092
MO
Other
Enumeration date
08/16/2018
Last updated
08/26/2024
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