Individual
DR. PATRICIA HICKS SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PMHNP-BC
Contact information
Practice address
2211 LOMAS BLVD NE, ALBUQUERQUE, NM 87106-2719
(505) 272-2111
Mailing address
620 JOHN PAUL JONES BLVD., NAVAL MEDICAL CENTER PORTSMOUTH, PORTSMOUTH, VA 23708
(757) 953-0651
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
60776707
WA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
68372
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
68372
NM BON
NM
Enumeration date
09/01/2016
Last updated
11/29/2022
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