Individual
LINDALEE SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
4900 BOAT CLUB RD, FORT WORTH, TX 76135-1802
(817) 338-1300
(817) 335-9871
Mailing address
1900 MISTLETOE BLVD STE 100, FORT WORTH, TX 76104-4048
(817) 338-1300
(817) 335-9871
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
AP130404
TX
363LA2100X
Acute Care Nurse Practitioner
AP130404
TX
364SG0600X
Gerontology Clinical Nurse Specialist
AP130404
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
355974803
—
TX
Enumeration date
02/24/2016
Last updated
03/22/2019
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