Individual
KARISSA SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
11115 WEST HIGHWAY 24, UNIT 2C, DIVIDE, CO 80814-0928
(719) 687-6416
(719) 687-6501
Mailing address
PO BOX 928, DIVIDE, CO 80814-0928
(719) 687-6416
(719) 687-6501
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN.1637676
CO
Other
Enumeration date
01/17/2017
Last updated
01/17/2017
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