Individual
GLENDA L SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
203 W LEE ST, TUSKEGEE, AL 36083-1719
(334) 727-7050
(334) 727-6284
Mailing address
203 WEST LEE ST, TUSKEGEE, AL 36083
(334) 727-7050
(334) 727-6284
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
1073428
AL
Other
Enumeration date
02/06/2008
Last updated
02/06/2008
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