Individual
HEATHER MARIE SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4506 N 1ST AVE, EVANSVILLE, IN 47710-3624
(812) 428-6161
Mailing address
4506 N 1ST AVE, EVANSVILLE, IN 47710-3624
(812) 428-6161
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
71013211A
IN
363LF0000X
Family Nurse Practitioner
3018517
KY
363LF0000X
Family Nurse Practitioner
71013211A
IN
Other
Enumeration date
10/24/2022
Last updated
03/01/2023
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