Individual
BETH CORCORAN SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP, PMHNP-BC
Contact information
Practice address
333 COTTMAN AVE, PHILADELPHIA, PA 19111-2434
(215) 214-3940
(215) 214-1425
Mailing address
2450 W HUNTING PARK AVE, PHILADELPHIA, PA 19129-1302
(215) 214-3940
(215) 214-1425
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN639945
PA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
SP014164
PA
Other
Enumeration date
12/19/2014
Last updated
04/16/2025
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