Individual
GWEN PATRICIA SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
AGPCNP-BC
Contact information
Practice address
571 S ALLEN RD, FLAT ROCK, NC 28731-9447
(828) 692-6178
(828) 692-2365
Mailing address
571 S ALLEN RD, FLAT ROCK, NC 28731-9447
(828) 692-6178
(828) 692-2365
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
5017945
NC
363LA2200X
Adult Health Nurse Practitioner
6017945
NC
363LA2200X
Adult Health Nurse Practitioner
RN222356
GA
363LG0600X
Gerontology Nurse Practitioner
Primary
5017945
NC
363LG0600X
Gerontology Nurse Practitioner
RN222356
GA
363LP2300X
Primary Care Nurse Practitioner
5017945
NC
363LP2300X
Primary Care Nurse Practitioner
RN222356
GA
Other
Enumeration date
01/17/2017
Last updated
04/12/2023
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