Individual
STEPHANIE MARIE SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, MSN, NP-C
Contact information
Practice address
924 LIBERTY STREET, WEST MILFORD, WV 26451
(304) 745-4568
(304) 326-3700
Mailing address
PO BOX 217, ROCK CAVE, WV 26234-0217
(304) 924-6262
(304) 924-5460
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
73459
WV
Other
Enumeration date
07/11/2012
Last updated
07/15/2013
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