Individual
ALIZAH KYLEY SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
759 CHESTNUT ST, SPRINGFIELD, MA 01107-1619
(413) 794-5555
(413) 794-5868
Mailing address
280 CHESTNUT ST FL 2, SPRINGFIELD, MA 01199-1001
(413) 794-5700
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
12111
CT
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
RN2338569
MA
Other
Enumeration date
08/18/2023
Last updated
11/09/2023
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