Individual
REBECCA MARIE SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
12328 INLETRIDGE DR APT B, MARYLAND HEIGHTS, MO 63043-2070
(314) 749-1506
Mailing address
12328 INLETRIDGE DR APT B, MARYLAND HEIGHTS, MO 63043-2070
(314) 749-1506
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
2002018677
MO
163WA2000X
Administrator Registered Nurse
2002018677
MO
Other
Enumeration date
02/24/2022
Last updated
02/24/2022
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