Individual
ANASTASIA SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
8402 HARCOURT RD STE 830, INDIANAPOLIS, IN 46260-2096
(317) 338-8857
Mailing address
250 N SHADELAND AVE, INDIANAPOLIS, IN 46219-4959
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
28194405A
IN
363LP0200X
Pediatric Nurse Practitioner
Primary
71009710A
IN
Other
Enumeration date
11/04/2019
Last updated
02/08/2024
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