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Individual

MARISA ERIKA SMITH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APN

Contact information

Practice address
8670 W CHEYENNE AVE, SUITE 120, LAS VEGAS, NV 89129-7456
(702) 576-9608
Mailing address
4338 SUNRISE SHORES AVE, NORTH LAS VEGAS, NV 89031-0441
(702) 580-7477

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
APN001473
NV

Other

Enumeration date
12/28/2012
Last updated
12/28/2012
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