Individual
REBECCA LEIGH SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
123 SUMMER ST STE 587, WORCESTER, MA 01608-1216
(508) 363-6470
Mailing address
123 SUMMER ST STE 587, WORCESTER, MA 01608-1216
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN2371526
MA
363LF0000X
Family Nurse Practitioner
Primary
RN2371526
MA
Other
Enumeration date
11/21/2024
Last updated
12/04/2024
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