Individual
SHELLY P SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
A.N.P.
Contact information
Practice address
3452 ANDERSON HWY, SUITE D, POWHATAN, VA 23139-5845
(804) 285-6050
(804) 598-2481
Mailing address
3452 ANDERSON HWY, SUITE D, POWHATAN, VA 23139-5845
(804) 285-6050
(804) 598-2481
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
0024164980
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
C09633
GROUP PTAN
VA
Enumeration date
04/13/2006
Last updated
04/22/2013
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