Individual
ASHLEY J SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-PP
Contact information
Practice address
4801 N BUTLER AVE STE 8102, FARMINGTON, NM 87401-0818
(505) 370-1201
(505) 461-1779
Mailing address
4801 N BUTLER AVE STE 8102, FARMINGTON, NM 87401-0818
(505) 370-1201
(505) 461-1779
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
60399
NM
363LF0000X
Family Nurse Practitioner
APN0995538-NP
CO
363LF0000X
Family Nurse Practitioner
Primary
CNP60399
NM
363LF0000X
Family Nurse Practitioner
RXN-004753-NP
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
30521041
—
NM
01
—
60399
LICENSE
NM
Enumeration date
12/19/2019
Last updated
01/16/2025
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