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Individual

CHARLEENE F SMITH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CRNP, PMHNP-BC

Contact information

Practice address
3940 LOCUST LN, HARRISBURG, PA 17109-4023
(484) 798-3395
Mailing address
3940 LOCUST LN, HARRISBURG, PA 17109-4023
(484) 798-3395

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN684040
PA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
2023209185
PA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
SP029651
PA

Other

Enumeration date
05/09/2024
Last updated
04/08/2026
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