Individual
NICOLE DANIELLE SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, WHNP-BC
Contact information
Practice address
5151 MAPLE AVE STE 6A, DALLAS, TX 75235-8136
(214) 266-0130
(214) 266-0144
Mailing address
5151 MAPLE AVE STE 6A, DALLAS, TX 75235-8136
(214) 266-0130
(214) 266-0144
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
876101
TX
363LW0102X
Women's Health Nurse Practitioner
Primary
1130548
TX
Other
Enumeration date
07/20/2023
Last updated
08/03/2023
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