Individual
NANCY CATHERINE SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
WHNP-BC
Contact information
Practice address
4251 FOREST PARK AVE, SAINT LOUIS, MO 63108-2810
(314) 531-7526
(314) 533-1586
Mailing address
2304 MILLS AVE, ALTON, IL 62002-2856
(618) 462-8655
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
2010037947
MO
Other
Enumeration date
01/20/2011
Last updated
01/20/2011
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