Individual
MRS. HEIDI ANGELA SMOOT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
4529 JESSUP GROVE RD, GREENSBORO, NC 27410-9407
(336) 605-0190
(336) 605-0930
Mailing address
100 KIMEL FOREST DR, WINSTON SALEM, NC 27103-6074
(336) 716-1331
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
0024168519
VA
363LP2300X
Primary Care Nurse Practitioner
0024168519
VA
Other
Enumeration date
10/19/2009
Last updated
07/26/2024
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