Individual
MARIA AGNES ESSIEN SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
10444 GREENBRIAR PLACE, SUITE C, EBENEZER HEALTH CARE SERVICES, PC, OKLAHOMA CITY, OK 73159-7660
(405) 378-2119
(405) 759-7022
Mailing address
10444 GREENBRIAR PLACE SUITE C, EBENEZER HEALTH CARE SERVICES, PC, OKLAHOMA CITY, OK 73159-7660
(405) 378-2119
(405) 759-7022
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R0070234
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100056310A
—
OK
Enumeration date
07/04/2006
Last updated
06/28/2011
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