Individual
BRENDA LEA SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
8010 MOFFETT RD, SEMMES, AL 36575-5406
(251) 645-8946
(251) 645-8976
Mailing address
2031 SNOW RD N, SEMMES, AL 36575-7629
(251) 645-0927
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
1-062996
AL
363LF0000X
Family Nurse Practitioner
1-062996
AL
Other
Enumeration date
07/25/2006
Last updated
06/03/2019
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