Individual
MIRANDA ALBERTA IRENE SMOOT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
1701 S 4TH ST, CLINTON, OK 73601-2309
(580) 331-2200
Mailing address
2602 CLOUD NINE CIR, WEATHERFORD, OK 73096-2625
(405) 408-4960
Taxonomy
Speciality
Code
Description
License number
State
261QV0200X
VA Clinic/Center
Primary
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
10/16/2023
Last updated
04/21/2025
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