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Individual

MONICA A SMITH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CFNP

Contact information

Practice address
2121 EOFF ST, WHEELING, WV 26003-3805
(304) 234-3580
Mailing address
2 ASTER DR, TRIADELPHIA, WV 26059-9613
(304) 242-2439

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
34486
WV

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
001718217
BCBS
WV
05
3810002285
WV
Enumeration date
08/31/2006
Last updated
08/06/2008
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