Individual
VICKI LYNN SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S., R.N., WHNP-BC
Contact information
Practice address
5300 MILITARY RD, 2ND FLOOR, LEWISTON, NY 14092-1903
(716) 298-2760
(716) 298-2760
Mailing address
5300 MILITARY RD, 2ND FLOOR, LEWISTON, NY 14092-1903
(716) 298-2760
(716) 298-2760
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
F420604-1
NY
Other
Enumeration date
02/08/2012
Last updated
02/08/2012
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