Individual
MRS. MAMIE ELIZABETH SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN-CNP
Contact information
Practice address
501 MORRIS ST, CHARLESTON, WV 25301-1326
(304) 647-6006
Mailing address
400 ASSOCIATION DR STE 102, CHARLESTON, WV 25311-1298
(304) 388-0151
(304) 388-1721
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
105799
WV
Other
Enumeration date
06/04/2020
Last updated
10/23/2023
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