Individual
ALEXANDRIA SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
30 HOLMES AVE, WATERBURY, CT 06710-2412
(817) 372-1333
Mailing address
246 PARK ST, APT 33, NEW HAVEN, CT 06511-4766
(817) 372-1333
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
6648
CT
Other
Enumeration date
05/03/2016
Last updated
09/19/2016
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