Individual
SUSANNE SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PNP
Contact information
Practice address
7700 FLOYD CURL DR, SAN ANTONIO, TX 78229-3902
(800) 243-3839
Mailing address
132 RATTLESNAKE BLF, BOERNE, TX 78006-1961
(210) 633-6075
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
1093553
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1093553
BOARD OF NURSING
TX
Enumeration date
09/19/2022
Last updated
09/19/2022
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