Individual
MRS. HEATHER MICHELLE SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
1 STADIUM DR, MORGANTOWN, WV 26506
(304) 598-6338
(304) 598-4910
Mailing address
PO BOX 363, 91 LOCUST STREET, JANE LEW, WV 26378-0363
(304) 476-7138
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
2011005721
WV
Other
Enumeration date
09/09/2011
Last updated
09/09/2011
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