Individual
REBECCA D. SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN-FNP
Contact information
Practice address
3200 MACCORKLE AVE SE, CHARLESTON, WV 25304-1227
(304) 388-4172
Mailing address
5102 STAUNTON AVE SE, CHARLESTON, WV 25304-2139
(443) 547-8096
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
117095
WV
Other
Enumeration date
07/07/2023
Last updated
07/07/2023
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