Individual
ANGELICA MARIA SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
436 CLAIRMONT CT, SUITE 100, COLONIAL HEIGHTS, VA 23834-1765
(804) 526-2121
(804) 520-2617
Mailing address
8580 MAGELLAN PKWY, RICHMOND, VA 23227-1149
(804) 526-2121
(804) 520-2617
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
0024172870
VA
Other
Enumeration date
09/09/2015
Last updated
02/05/2020
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