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Individual

NATHANAEL SMITH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PMHNP-BC

Contact information

Practice address
6515 GRAND TETON PLZ STE 220, MADISON, WI 53719-1048
(608) 713-9898
Mailing address
6515 GRAND TETON PLZ STE 220, MADISON, WI 53719-1048

Taxonomy

Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
1805333
WI

Other

Enumeration date
02/23/2026
Last updated
02/23/2026
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