Individual
ANEICHA SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGACNP-BC
Contact information
Practice address
703 S FLEISHEL AVE, TYLER, TX 75701-2015
(903) 606-7525
Mailing address
2710 SWISS AVE, DALLAS, TX 75204-5900
(214) 821-1599
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
AP126722
TX
363LA2100X
Acute Care Nurse Practitioner
Primary
AP126722
TX
Other
Enumeration date
01/22/2015
Last updated
09/27/2022
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