Individual
CRYSTAL LEA SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
1751 N ASPEN AVE, BROKEN ARROW, OK 74012-1197
(918) 794-6008
Mailing address
1751 N ASPEN AVE, BROKEN ARROW, OK 74012-1197
(918) 794-6008
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
220892
OK
Other
Enumeration date
11/07/2024
Last updated
11/07/2024
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