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Individual

MS. LETICIA TERESE SMITH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MSN, RN, FNP-BC

Contact information

Practice address
136 MOUNTAINVIEW BLVD, BASKING RIDGE, NJ 07920-3444
(908) 542-3000
Mailing address
136 MOUNTAINVIEW BLVD, BASKING RIDGE, NJ 07920-3444

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
26NJ00430400
NJ
363LF0000X
Family Nurse Practitioner
F337902-1
NY

Other

Enumeration date
08/02/2013
Last updated
01/18/2016
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