Individual
PAMELA ANN SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ANP
Contact information
Practice address
350 HERITAGE WAY STE 2100, KALISPELL, MT 59901-3167
(406) 257-8992
(406) 257-8996
Mailing address
350 HERITAGE WAY STE 2100, KALISPELL, MT 59901-3167
(406) 257-8992
(406) 257-8996
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
545903
TX
363LA2100X
Acute Care Nurse Practitioner
Primary
AP114644
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
297298602
—
TX
05
—
297298603
—
TX
01
—
297298604
CSHCN
TX
01
—
327250YLLW
MEDICARE
—
01
—
8332NK
BCBS
TX
Enumeration date
11/10/2006
Last updated
11/27/2023
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