Individual
MARIAH NICHOLE SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
900 SCOTT AND WHITE DR, COLLEGE STATION, TX 77845-6419
(979) 207-7400
(979) 207-7401
Mailing address
PO BOX 844658, DALLAS, TX 75284-4658
(254) 724-2111
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
1016432
TX
Other
Enumeration date
12/10/2020
Last updated
07/23/2025
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