Individual
MARYL SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
10100 LINN STATION RD, LOUISVILLE, KY 40223-3861
(502) 909-0772
(877) 299-2777
Mailing address
10100 LINN STATION RD STE 1A, LOUISVILLE, KY 40223-3861
(502) 909-0772
(877) 299-2777
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
3009559
KY
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
G149034
IA
Other
Enumeration date
07/17/2015
Last updated
05/20/2024
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