Individual
MRS. PAMELA CELESTE SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
830 PENNSYLVANIA AVE STE 103, CHARLESTON, WV 25302-3389
(304) 388-1552
Mailing address
PO BOX 7000, MORGANTOWN, WV 26507-7000
(304) 388-1552
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
52807
WV
Other
Enumeration date
09/24/2006
Last updated
12/19/2016
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