Individual
MRS. MILDRED MARIE SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN,MS, MN, PNP
Contact information
Practice address
CARL R. DARNALL ARMY MEDICAL CENTER, 36000 DARNALL LOOP, FORT HOOD, TX 76544
(254) 286-7700
Mailing address
601 CHEETAH TRL, HARKER HEIGHTS, TX 76548-5621
(254) 698-4163
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
640264
TX
Other
Enumeration date
11/30/2006
Last updated
07/08/2007
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