Individual
MRS. SHELLEY CHRISTINE SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1250 E MARSHALL ST, INTERNAL MEDICINE GASTROENTEROLOGY, RICHMOND, VA 23298-5051
(804) 828-7208
(804) 828-4945
Mailing address
PO BOX 980510, MEDICAL STAFF SERVICES, RICHMOND, VA 23298-0510
(804) 828-7208
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
0024166933
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0024166933
LICENSE FOR N P
VA
Enumeration date
06/08/2006
Last updated
07/08/2007
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