Individual
STACEY E SMILEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
145 HOSPITAL AVE, SUITE 113, DU BOIS, PA 15801-1462
(814) 375-3722
(814) 375-3086
Mailing address
145 HOSPITAL AVE, SUITE 113, DU BOIS, PA 15801-1462
(814) 375-3722
(814) 375-3086
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
SP007759
PA
Other
Enumeration date
09/25/2006
Last updated
11/23/2015
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